Individual
JULIE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
458 N. BROADWAY, SUITE B, PORTLAND, TN 37148-1767
(615) 323-0573
(615) 323-0574
Mailing address
458 N. BROADWAY, SUITE B, PORTLAND, TN 37148-1767
(615) 323-0573
(615) 323-0574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3534
TN
1041C0700X
Clinical Social Worker
Primary
3534
TN
Other
Enumeration date
06/28/2006
Last updated
12/18/2013
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