Individual
WANDA LITTLES RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1310 24TH AVE S, VAMC, NASHVILLE, TN 37212-2637
(615) 873-7933
Mailing address
3727 COLONIAL HERITAGE DR, NASHVILLE, TN 37217-4506
(615) 430-1002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4388
TN
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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