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Organization

RESTORE THERAPY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY H DAFFERNER LCSW (CO-OWNER/FOUNDER)
(901) 318-0506
Entity
Organization

Contact information

Practice address
2583 TURPINS GLEN DR, GERMANTOWN, TN 38138-5820
(901) 318-0506
Mailing address
2583 TURPINS GLEN DR, GERMANTOWN, TN 38138-5820
(901) 318-0506

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/07/2023
Last updated
03/28/2024
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