Individual
STACI M HAIGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6853
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-8530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000013812
TN
Other
Enumeration date
01/25/2012
Last updated
08/09/2023
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