Individual
MS. CARISSA E WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2610 CORPORATE AVE E STE 100, MEMPHIS, TN 38132-1735
(901) 346-1270
Mailing address
5658 KAITLYN DR W, WALLS, MS 38680-8525
(317) 864-8475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
7256
TN
Other
Enumeration date
05/09/2018
Last updated
12/13/2019
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