Individual
BERNITA RENE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-LAPSW
Contact information
Practice address
300 STONECREST BLVD STE 310, SMYRNA, TN 37167-6801
(615) 462-8974
Mailing address
910 SAINT ANDREWS DR APT A1, MURFREESBORO, TN 37128-7522
(615) 462-8974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
374
TN
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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