Individual
MS. LAVERA G MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
9049 WILLIAM PAUL DR, OLIVE BRANCH, MS 38654-6430
(662) 812-1288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
6847
TN
1041C0700X
Clinical Social Worker
Primary
C9863
MS
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/16/2009
Last updated
12/22/2022
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