Individual
MRS. MARY R DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC MHSP
Contact information
Practice address
4515 POPLAR AVE, SUITE 515, MEMPHIS, TN 38117
(901) 763-1288
(901) 763-3334
Mailing address
4515 POPLAR AVE, SUITE 515, MEMPHIS, TN 38117
(901) 763-1288
(901) 763-3334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1189
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4074543
BCBS
TN
Enumeration date
05/22/2007
Last updated
07/08/2007
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