Individual
DESARAE JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 475-3593
(901) 313-1124
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 475-3593
(901) 313-1124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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