Individual
MR. MICHAEL WAYNE LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2670 MEMORIAL BLVD, SUITE E-2, MURFREESBORO, TN 37129-5139
(615) 890-7946
(615) 890-7946
Mailing address
809 ROB LN, LASCASSAS, TN 37085-4635
(615) 890-7946
(615) 890-7946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3075520
BLUE CROSS BLUE SHIELD #
TN
Enumeration date
10/16/2006
Last updated
07/08/2007
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