Individual
JAMIE CODISPOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 21ST AVE S STE 101, NASHVILLE, TN 37212-4927
(615) 852-5146
Mailing address
2300 21ST AVE S STE 101, NASHVILLE, TN 37212-4927
(615) 852-5146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5092
TN
Other
Enumeration date
10/03/2014
Last updated
06/05/2015
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