Individual
MRS. JULIE J CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
Mailing address
105 AUDUBON RD, SHELBYVILLE, TN 37160-4601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5926C
NV
1041C0700X
Clinical Social Worker
Primary
LCSW5600
TN
Other
Enumeration date
01/02/2009
Last updated
11/02/2011
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