Individual
MS. REGINA LEE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 DUTCH VALLEY DR., SUITE 12, KNOXVILLE, TN 37918-1731
(865) 281-8558
(888) 311-9599
Mailing address
PO BOX 51946, KNOXVILLE, TN 37950-1946
(865) 281-8558
(888) 311-9599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW3113
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927595
—
TN
Enumeration date
01/26/2006
Last updated
02/10/2012
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