Individual
ELIZABETH CAROL DIVELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
721 HIGHWAY 46 S, DICKSON, TN 37055-2565
(615) 446-3797
Mailing address
120 HEADY DR, NASHVILLE, TN 37205-4414
(615) 356-4770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003940
TN
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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