Individual
LAURA CATHARINE EDDLEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5410 HOMBERG DR, SUITE 14, KNOXVILLE, TN 37919-5031
(865) 588-3137
(865) 588-3174
Mailing address
1318 GRAINGER AVE, KNOXVILLE, TN 37917-5709
(865) 522-9534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW5270
TN
1041C0700X
Clinical Social Worker
Primary
LSW4393
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927375
—
TN
Enumeration date
07/19/2005
Last updated
07/08/2007
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