Organization
DEPT OF VETERANS AFFAIRS MEDICAL CENTER
Active
Organization
DEPT OF VETERANS AFFAIRS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RTIA B RANGE LCSW (SUPERVISORY SOCIAL WORKER)
(901) 523-8990
Entity
Organization
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7427
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1077
TN
Other
Enumeration date
08/31/2006
Last updated
08/08/2008
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