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Individual

TANISHA KATIE RIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S

Contact information

Practice address
427 LINDEN AVE # AVE4NUE, MEMPHIS, TN 38126-2023
(901) 577-9443
Mailing address
427 LINDEN AVE # AVE4NUE, MEMPHIS, TN 38126-2023
(901) 577-9443

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
TN

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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