Individual
MRS. DEBRAH UDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1450 BATTLEGROUND DR, MURFREESBORO, TN 37129-1750
(615) 904-7170
Mailing address
2405 FOXCROFT RD, MURFREESBORO, TN 37128-5305
(615) 631-5319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004094
TN
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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