Individual
MARY BETH WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1355-B LYNNFIELD RD, STE 245, MEMPHIS, TN 38119-5811
(901) 485-1671
(901) 373-3357
Mailing address
1355-B LYNNFIELD RD, STE 245, MEMPHIS, TN 38119-5811
(901) 485-1671
(901) 373-3357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3095794
TN BLUE CROSS
TN
05
—
3699456
—
TN
Enumeration date
11/21/2006
Last updated
07/09/2007
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