Individual
ALISA EVANS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
641 EAST POPLAR AVE, SELMER, TN 38375-1828
(731) 645-5753
(731) 645-9885
Mailing address
331 AZALIA RD, ADAMSVILLE, TN 38310-1907
(731) 645-5753
(731) 645-9885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4118398
BCBS PROVIDER NUMBER
TN
Enumeration date
08/31/2006
Last updated
07/09/2007
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