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Individual

ABIGAIL IDA DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSSW

Contact information

Practice address
150 TIMBER CREEK DR STE 2, CORDOVA, TN 38018-4236
(901) 248-0595
(888) 977-2994
Mailing address
5176 WARFIELD DR, MEMPHIS, TN 38117-2130
(901) 570-2655

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
TN
1041S0200X
School Social Worker
TN

Other

Enumeration date
09/27/2018
Last updated
09/27/2018
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