Individual
MS. CHARLOTTE MARICIA STAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
820 HIGHWAY 100, #3, CENTERVILLE, TN 37033
(931) 623-0717
Mailing address
P.O. BOX 23, NUNNELLY, TN 37137
(931) 623-0717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
200
TN
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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