Individual
KRISTEN MCCOLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2430 POPLAR AVE, MEMPHIS, TN 38112-3246
(901) 324-3637
(901) 324-9114
Mailing address
2430 POPLAR AVE, MEMPHIS, TN 38112-3246
(901) 324-3637
(901) 324-9114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2207-C
AR
1041C0700X
Clinical Social Worker
I.084005
OH
1041C0700X
Clinical Social Worker
Primary
LSW0000004868
TN
Other
Enumeration date
01/15/2008
Last updated
04/13/2009
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