Individual
MS. JACQUELYN GANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1801 W END AVE, NASHVILLE, TN 37203-2526
(615) 965-2199
Mailing address
514 COUNCIL BLUFF PKWY, MURFREESBORO, TN 37127-6389
(615) 225-5377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1397C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1397C
CERTIFIED SOCIAL WORKER
AL
Enumeration date
06/29/2006
Last updated
03/09/2012
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