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Organization

UNIVERSITY OF MEMPHIS

Active
Other names
Interprofessional Community Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM MUELLER (INTERIM EXECUTIVE DIRECTOR PROCUREM)
(901) 678-5348
Entity
Organization

Contact information

Practice address
4055 NORTH PARK LOOP, SUITE 1000, MEMPHIS, TN 38152
(901) 678-3209
(901) 678-5630
Mailing address
4055 NORTH PARK LOOP, SUITE 1000, MEMPHIS, TN 38152
(901) 678-3209
(901) 678-5630

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103TC1900X
Counseling Psychologist
1041C0700X
Clinical Social Worker

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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