Individual
MRS. LYDIA PIPES ROANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
703 HIWASSEE HILL DR, JOHNSON CITY, TN 37601-7603
(423) 283-0097
(423) 283-0097
Mailing address
703 HIWASSEE HILL DR, JOHNSON CITY, TN 37601-7603
(423) 283-0097
(423) 283-0097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3031
LA
1041C0700X
Clinical Social Worker
Primary
LSW0000004935
TN
Other
Enumeration date
04/08/2008
Last updated
03/24/2009
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