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Individual

MS. SHADEAU LEA RHODES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
140 S MAIN ST STE 19, COLLIERVILLE, TN 38017-3058
(901) 308-6991
(901) 231-7905
Mailing address
140 S MAIN ST STE 19, COLLIERVILLE, TN 38017-3058
(901) 308-6991

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
11304
TN
1041C0700X
Clinical Social Worker
Primary
7952
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
12/27/2021
Last updated
03/27/2026
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