Individual
JOHNNY MICHAEL STOVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1 VANTAGE WAY, NASHVILLE, TN 37228-1515
(615) 988-4763
Mailing address
1 VANTAGE WAY, NASHVILLE, TN 37228-1515
(615) 988-4763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15525
TN
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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