Individual
ELEXIS WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4821 AMERICAN WAY STE 315, MEMPHIS, TN 38118-2454
(901) 515-6367
Mailing address
3200 SEMINOLE LN, MEMPHIS, TN 38119-8600
(901) 310-7932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW00000112937
TN
104100000X
Social Worker
SW133051
PA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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