Individual
ANNA EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1414 17TH AVE S, NASHVILLE, TN 37212
(615) 517-6919
Mailing address
1414 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 517-6919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6666
TN
1041C0700X
Clinical Social Worker
LSW0000009868
TN
Other
Enumeration date
11/13/2015
Last updated
06/29/2018
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