Individual
PHA'MESHIA CALICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3687 PARADISE LAKE DRIVE, MEMPHIS, TN 38115-3811
(901) 265-2017
Mailing address
3687 PARADISE LAKE DRIVE, MEMPHIS, TN 38115
(901) 265-2017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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