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Individual

SHERRY LIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
205 W SPRINGDALE AVE, KNOXVILLE, TN 37917
(865) 637-9711
(865) 637-4362
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
(865) 637-4362

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004489
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1501296
TN
Enumeration date
04/17/2006
Last updated
03/05/2024
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