Individual
TAMMY REANE' LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
241 SOUTH CALDERWOOD STREET, ALCOA, TN 37701
(865) 207-0541
Mailing address
PO BOX 842, LOUISVILLE, TN 37777-0842
(865) 207-0541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004428
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4090613
BLUE CROSS BLUE SHIELD
TN
Enumeration date
12/05/2006
Last updated
08/16/2023
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