Lorraine Wiseman CMSW

NPI 1104097278 - Social Worker - 104100000X

NPI Details
NPI 1104097278
Gender Female
Enumeration Date 03/17/2008
Last Updated 03/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1030 JEFFERSON AVE
MEMPHIS TN, 38104-2127, US
Phone (901) 523-8990
Fax
Business Location
7171 BLUEGRASS RD
OLIVE BRANCH MS, 38654-1008, US
Phone (662) 895-4630
Fax (901) 516-8198
Toxanomy
Taxonomy Code 104100000X
License State Tennessee
License Number CSW 3647
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According to our database, Mrs. Lorraine Wiseman CMSW NPI is 1104097278, taxonomy code is 104100000X and license number is CSW 3647, license state is located at Tennessee. Lorraine Wiseman CMSW physically located at 1030 Jefferson Ave, Memphis TN, 38104-2127. NPI Number Lorraine Wiseman CMSW has the Individual type.

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1104097278 NPI number is provided on an as is basis without warranty of any kind. 1104097278 is maintained by the National Plan & Provider Enumeration System. The contents of Lorraine Wiseman CMSW are for informational purposes only.