Individual
MICHELE ELAINE RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 S 4TH ST, PULASKI, TN 38478-3733
(931) 424-7199
(931) 424-7199
Mailing address
788 POWELL CHAPEL RD, PULASKI, TN 38478-6821
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000004576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441175
—
TN
Enumeration date
02/03/2007
Last updated
03/27/2009
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