Individual
MRS. KENYETTA D. MCINTOSH-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
2736 GREENMILL DR, MEMPHIS, TN 38119-8304
(901) 375-0918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149013440
IL
1041C0700X
Clinical Social Worker
2446-C
AR
1041C0700X
Clinical Social Worker
Primary
5147
TN
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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