Individual
MACK REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4311 FISKE VALLEY DR, MEMPHIS, TN 38135-9273
(901) 550-5545
Mailing address
4311 FISKE VALLEY DR, MEMPHIS, TN 38135-9273
(901) 550-5545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000539106
MA
Other
Enumeration date
11/02/2015
Last updated
12/09/2015
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