Individual
AMYLIZA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 225-3720
Mailing address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 225-3720
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000007557
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000007201
TN
Other
Enumeration date
08/20/2009
Last updated
08/09/2023
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