Individual
ADRIAN TAYLOR SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
76 CAPITAL WAY STE C, ATOKA, TN 38004-6866
(901) 840-1202
(901) 840-1204
Mailing address
P O BOX 1000 DEPT 978, MEMPHIS, TN 38148-0001
(901) 840-1202
(901) 840-1204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6687
TN
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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