Individual
STACEY A. ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1914 LYNDALE AVE, MEMPHIS, TN 38107-5107
(901) 359-7615
Mailing address
1914 LYNDALE AVE, MEMPHIS, TN 38107-5107
(901) 359-7615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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