Individual
MRS. THEDA DIANE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 S TATUM ST, WOODBURY, TN 37190-1138
(615) 563-8501
(615) 536-8501
Mailing address
PO BOX 434, 105 SOUTH TATUM STREET, WOODBURY, TN 37190-0434
(615) 563-8501
(615) 536-8501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927918
—
TN
Enumeration date
03/20/2006
Last updated
04/05/2023
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