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Individual

DARLA ANNE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
215 HEDRICK DR, NEWPORT, TN 37821-2902
(423) 623-5301
(423) 625-0808
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW7782
TN
1041C0700X
Clinical Social Worker
Primary
LSW5594
TN
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/13/2007
Last updated
04/11/2012
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