Most Relevant Information
Provider Data
| NPI Number: | 1003054446 |
| Provider Name: | TINA DAVENPORT ROWLAND LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LSW0000007578 |
Most Important Dates
| Enumeration Date: | 01/22/2009 |
| Last Updated: | 01/22/2009 |
Provider Practice Location
160 DOGWOOD AVE
MOUNTAIN HOME
TN
376844000
Practice Location Phone/Fax
| Phone: | 4239261171 |
| Fax: | 4239792812 |
Provider Mailing Location
PO BOX 4000
MOUNTAIN HOME
TN
376844000
Provider Mailing Phone/Fax
| Phone: | 4239261171 |
| Fax: | 4239792812 |