Individual
AMANDA PAIGE LIFSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8598 HIGHWAY 22, DRESDEN, TN 38225-2308
(731) 364-5675
(731) 364-2870
Mailing address
8598 HIGHWAY 22, DRESDEN, TN 38225-2308
(731) 364-5675
(731) 364-2870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6194
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017488
—
TN
Enumeration date
10/14/2013
Last updated
03/06/2019
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