Individual
AILEEN-ELIZABETH HERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5923 WILLOW SPRINGS DR, MILLINGTON, TN 38053-8437
(901) 310-5880
Mailing address
5923 WILLOW SPRINGS DR, MILLINGTON, TN 38053-8437
(901) 616-9282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6059
TN
Other
Enumeration date
10/01/2012
Last updated
06/29/2022
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