Individual
KAELIN A LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
560 COLONIAL RD STE 201, MEMPHIS, TN 38117-4097
(901) 930-7397
Mailing address
560 COLONIAL RD, MEMPHIS, TN 38117-4019
(901) 930-7397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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