Individual
SHANNON O DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1652 E BROADWAY AVE, MARYVILLE, TN 37804-2914
(865) 681-6990
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5710
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000668
—
TN
Enumeration date
01/26/2009
Last updated
03/05/2024
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