Individual
KARA GWIN STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 542-1346
Mailing address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 542-1346
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M10946
MS
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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