Individual
RENITA MAITEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104
(662) 388-5902
Mailing address
9964 WOODLAND BEND DR, LAKELAND, TN 38002-3815
(662) 388-5902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6225
TN
Other
Enumeration date
02/26/2015
Last updated
06/11/2018
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