Individual
KYMBERLEE SUZANNE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
517 N WILSON BLVD, NASHVILLE, TN 37205-2417
(714) 814-3567
Mailing address
517 N WILSON BLVD, NASHVILLE, TN 37205-2417
(714) 814-3567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5764
TN
1041C0700X
Clinical Social Worker
Primary
5764
TN
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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