Individual
STEPHANIE L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
49 OLD HICKORY BLVD, JACKSON, TN 38305-4551
(731) 499-2318
(731) 499-2318
Mailing address
49 OLD HICKORY BLVD, JACKSON, TN 38305-4551
(731) 499-2318
(731) 499-2318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000006456
TN
1041S0200X
School Social Worker
2922658
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/04/2007
Last updated
05/28/2009
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