Individual
MRS. MICHELLE DIANNE PORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 CENTER PARK DR, STE 1300, KNOXVILLE, TN 37922-2124
(865) 556-0593
Mailing address
111 CENTER PARK DR, STE 1300, KNOXVILLE, TN 37922-2124
(865) 555-0593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000003889
TN
1041C0700X
Clinical Social Worker
0000003889
TN
Other
Enumeration date
02/15/2007
Last updated
07/27/2016
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