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Individual

MALISSA ELAINE DUCKWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
711 JEFFERSON AVE, MEMPHIS, TN 38105-5003
(901) 448-6598
Mailing address
1109 WINGFIELD RD, MEMPHIS, TN 38122-2420
(901) 268-2562

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5757
TN

Other

Enumeration date
08/15/2013
Last updated
08/15/2013
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