Individual
MR. JOHN DEADERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-8950
Mailing address
308 BRAMBLEWOOD DR, NASHVILLE, TN 37211-4308
(615) 294-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11335
TN
104100000X
Social Worker
7824
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000007824
TN
Other
Enumeration date
08/09/2017
Last updated
08/16/2023
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