Individual
LINDA LEE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 CUMBERLAND ST, SUITE 110, CHATTANOOGA, TN 37404-1909
(423) 698-0802
Mailing address
425 CUMBERLAND ST, SUITE 110, CHATTANOOGA, TN 37404-1909
(423) 698-0802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW002586
GA
1041C0700X
Clinical Social Worker
Primary
LSW0000003517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSW0000003517
PACE
TN
Enumeration date
10/01/2008
Last updated
08/10/2012
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