Individual
MRS. LILLIAN SHEA STOFFREGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
60 LYNOAK CV, JACKSON, TN 38305-2909
(731) 668-7593
(731) 660-7512
Mailing address
60 LYNOAK CV, JACKSON, TN 38305-2909
(731) 668-7593
(731) 660-7512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000009321
TN
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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