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Individual

MRS. LAURIE LEA WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6584
(423) 379-8120
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5786
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q015559
TN
Enumeration date
02/01/2007
Last updated
01/29/2024
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