Individual
DEBRA BETH VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LMSW
Contact information
Practice address
949 LANDING OAKS DR, COLLIERVILLE, TN 38017-7367
(216) 408-8576
Mailing address
949 LANDING OAKS DR, COLLIERVILLE, TN 38017-7367
(216) 408-8576
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.0008000
OH
104100000X
Social Worker
LSW0000010292
TN
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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