Individual
DR. LEANNE INGLE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW DSW
Contact information
Practice address
4877 CHAMBLISS AVE, KNOXVILLE, TN 37919
(865) 588-1923
(865) 584-7487
Mailing address
4877 CHAMBLISS AVE, KNOXVILLE, TN 37919
(865) 588-1923
(865) 584-7487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000000183
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3924680
—
TN
Enumeration date
08/08/2006
Last updated
07/08/2007
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