Individual
ELIZABETH DERRICK REDWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
632 JAMES AVE, NASHVILLE, TN 37209-1247
(615) 477-8406
Mailing address
632 JAMES AVE, NASHVILLE, TN 37209-1247
(615) 477-8406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9111
TN
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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