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Organization
UNIVERSITY OF MEMPHIS
Active
Organization
UNIVERSITY OF MEMPHIS
Active
Other names
Interprofessional Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MUELLER (INTERIM EXECUTIVE DIRECTOR PROCUREM)
(901) 678-5348
Entity
Organization
Contact information
Practice address
4055 NORTH PARK LOOP, SUITE 1000, MEMPHIS, TN 38152
(901) 678-3209
(901) 678-5630
Mailing address
4055 NORTH PARK LOOP, SUITE 1000, MEMPHIS, TN 38152
(901) 678-3209
(901) 678-5630
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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