Organization
JEWISH FAMILY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HENDREN (INSURANCE ADMINISTRATOR)
(901) 767-8511
Entity
Organization
Contact information
Practice address
6560 POPLAR AVE, SUITE B, MEMPHIS, TN 38138-3656
(901) 767-8511
(901) 763-2348
Mailing address
6560 POPLAR AVE, SUITE B, MEMPHIS, TN 38138-3656
(901) 767-8511
(901) 763-2348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007926
BLUE CROSS BLUE SHIELD
TN
05
—
3719934
—
TN
Enumeration date
05/09/2006
Last updated
06/19/2013
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