Individual
LISA M DERREBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
162 COUNTY SERVICES RD STE 100, ASHLAND CITY, TN 37015-1748
(615) 463-6168
Mailing address
162 COUNTY SERVICES RD STE 100, ASHLAND CITY, TN 37015-1748
(615) 463-6168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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