Individual
RICK W EDDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3047 FORD RD, MEMPHIS, TN 38109-2744
(901) 409-7550
(662) 429-6118
Mailing address
PO BOX 333, NESBIT, MS 38651-0333
(901) 409-7550
(662) 429-6118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3699886
—
TN
01
—
P00380737
RAILROAD MEDICARE
TN
Enumeration date
11/14/2006
Last updated
03/04/2011
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