Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LSW0000005345 | TN |
NPI | 1003186305 |
---|---|
Provider Name | Ms. Linda Anne Rankin |
First Address | Louisville, TN 37777 |
Second Address | Louisville, TN 37777-5505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2012 |
Last Update Date | 04/01/2012 |