Individual
MISS KRISTIN WLISE LUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4290
Mailing address
3709B INGLEWOOD CIR S, NASHVILLE, TN 37216-3309
(256) 565-7412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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