Individual
ELEANOR J FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4066 SUMMER AVE, MEMPHIS, TN 38122-5225
(901) 531-1938
Mailing address
4066 SUMMER AVE, MEMPHIS, TN 38122-5225
(901) 531-1938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4615
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4615
LCSW LICENSE NUMBER
TN
Enumeration date
02/16/2009
Last updated
02/16/2009
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