Individual
DEBRA SUSAN NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
621 OLD HICKORY BLVD STE E, JACKSON, TN 38305-2911
(731) 660-6402
Mailing address
386 CARRIAGE HOUSE DR STE E, JACKSON, TN 38305-2236
(731) 217-9340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003905
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506439
—
TN
Enumeration date
09/13/2006
Last updated
07/06/2015
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