Individual
SAMANTHA REILLY PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
930 ADELL REE PARK LN, KNOXVILLE, TN 37909-2543
(865) 769-2600
Mailing address
124 JD FARM RD, TELLICO PLAINS, TN 37385-5244
(423) 519-1699
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15424
TN
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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