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Individual

MS. SHELLEY ELAINE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
100 CORNER OF SIDNEY & LAMONT, BUILDING 200, MOUNTAIN HOME, TN 37684
(423) 979-2605
(423) 797-3451
Mailing address
P.O. BOX 4000, JAMES H QUILLEN VA MEDICAL CENTER, MOUNTIAN HOME, TN 37684
(423) 979-2605
(423) 797-3451

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7563
TN

Other

Enumeration date
01/30/2009
Last updated
01/30/2009
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