Individual
MRS. LISA KRISTA ROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMSW
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7427
Mailing address
9110 BROOKHOLLOW DR, OLIVE BRANCH, MS 38654-8315
(901) 523-8990
(901) 577-7427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW0000006003
TN
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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