Andrea Marie Self LBSW

NPI 1437590023 - Social Worker - 104100000X

NPI Details
NPI 1437590023
Gender Female
Enumeration Date 07/11/2013
Last Updated 07/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2960B OLD AUSTIN PEAY HWY
MEMPHIS TN, 38128-5631, US
Phone (901) 372-7878
Fax
Business Location
2960B OLD AUSTIN PEAY HWY
MEMPHIS TN, 38128-5631, US
Phone (901) 372-7878
Fax
Toxanomy
Taxonomy Code 104100000X
License State Tennessee
License Number BSW0000000658
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According to our database, Ms. Andrea Marie Self LBSW NPI is 1437590023, taxonomy code is 104100000X and license number is BSW0000000658, license state is located at Tennessee. Andrea Marie Self LBSW physically located at 2960b Old Austin Peay Hwy, Memphis TN, 38128-5631. NPI Number Andrea Marie Self LBSW has the Individual type.

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1437590023 NPI number is provided on an as is basis without warranty of any kind. 1437590023 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Marie Self LBSW are for informational purposes only.