Individual
LEA ANN ELWOOD-RELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1570 WAVERLY RD, KINGSPORT, TN 37664-2523
(423) 224-1300
(423) 224-1375
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LSW9478
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/08/2008
Last updated
10/18/2012
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