Individual
ANDREA STACKPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
52 TIMBER CREEK DR STE 203, CORDOVA, TN 38018-4388
(662) 536-6210
(662) 536-6174
Mailing address
1970 WALKER AVE, MEMPHIS, TN 38104-5635
(540) 729-4020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11093
TN
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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