Individual
MRS. STEPHANE LACY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 S GERMANTOWN RD, MEMPHIS, TN 38125-2003
(901) 690-6733
Mailing address
3860 S GERMANTOWN RD, MEMPHIS, TN 38125-2003
(901) 690-6733
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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