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Individual

ELIZABETH ROSS SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
2526 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3007
(615) 557-5607
(615) 883-0740
Mailing address
1612 RACHELS RETREAT CIR, HERMITAGE, TN 37076-2870
(615) 883-0740
(615) 883-0740

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000003115
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30068238
BLUE CROSS BLUE SHEILD
TN
Enumeration date
05/16/2006
Last updated
07/21/2022
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