Individual
JULIA E AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 CHARLESMEADE DR, JACKSON, TN 38305-3304
(731) 664-4483
Mailing address
150 CHARLESMEADE DR, JACKSON, TN 38305-3304
(731) 664-4483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000000002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063804
BLUE CROSS BLUE SHIELD
TN
05
—
3690006
—
TN
Enumeration date
10/02/2007
Last updated
10/02/2007
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