Individual
MS. ETHEL JEAN MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 LOCKETT PL, MEMPHIS, TN 38104-3923
(901) 596-7645
(901) 850-5725
Mailing address
1707 LOCKETT PL, MEMPHIS, TN 38104-3923
(901) 596-7645
(901) 850-5725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IP000463
TN
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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