Individual
DEMETRIA KUTULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000010564
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000010564
TENNESSEE BOARD OF SOCIAL WORKERS
TN
Enumeration date
02/09/2018
Last updated
08/09/2023
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