Individual
MRS. MANDY KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3205 KIRBY WHITTEN 203 SUITE D, BARTLETT, TN 38134-2853
(901) 430-5009
(901) 284-0527
Mailing address
3030 BRUNSWICK RD, BARTLETT, TN 38133-4106
(901) 531-1950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000006270
TN
1041C0700X
Clinical Social Worker
2001-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y793
BLUECROSS PROVIDER NUMBER
AR
Enumeration date
07/15/2006
Last updated
09/14/2018
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