Individual
MRS. LORI ANN DE LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 AUTUMN CREEK, LEBANON, TN 37087
(812) 658-1171
Mailing address
109 AUTUMN CREEK, LEBANON, TN 37087
(812) 658-1171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5836
TN
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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