Individual
MARY E STREETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
670 COLONIAL RD, SUITE 5, MEMPHIS, TN 38117-5160
(901) 681-0851
(901) 681-0872
Mailing address
670 COLONIAL RD, SUITE 5, MEMPHIS, TN 38117-5160
(901) 681-0851
(901) 681-0872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IP490
TN
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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