Individual
ASHLEY LAURA ANNESTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
711 JEFFERSON AVE, ROOM 135, MEMPHIS, TN 38105-5003
(901) 448-6511
(901) 448-7097
Mailing address
711 JEFFERSON AVE, ROOM 283A, MEMPHIS, TN 38105-5003
(901) 448-6511
(901) 448-7097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5769
TN
Other
Enumeration date
11/17/2011
Last updated
07/19/2013
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