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NPI Code Detail

MEDICARE: SARAH E LEE LCSW

MEDICARE: SARAH E LEE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker8824TN

General Provider Information

NPI Number : 1992314314
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH E LEE LCSW
Provider Business Mailing Address
First Line : 400 BALSAM DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918-3001
Country : US
Telephone Number : 865-201-2924
Fax Number :
Provider Business Practice Location Address
First Line : 5645 MERCHANTS CENTER BLVD STE 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-3473
Country : US
Telephone Number : 865-637-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2020
Last Update Date : 10/09/2024

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Directions to “ SARAH E LEE LCSW” Practice Location

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