Individual
LINDA SUE COEBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2700 S ROAN ST STE 203, JOHNSON CITY, TN 37601-7557
(423) 202-3033
Mailing address
549 W STONE DR, KINGSPORT, TN 37660-3212
(423) 202-3033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C004718
NC
1041C0700X
Clinical Social Worker
Primary
TNLSW0000006900
TN
Other
Enumeration date
07/08/2006
Last updated
04/19/2022
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