Individual
NAKEESHA LONGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1698 BELLEDEER DR E, CORDOVA, TN 38016-0428
(901) 292-6928
Mailing address
1331 UNION AVE, STE 1024, MEMPHIS, TN 38104-7509
(901) 833-7095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10786
TN
1041C0700X
Clinical Social Worker
Primary
6764
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6764
STATE OF TENNESSEE
TN
Enumeration date
03/04/2016
Last updated
09/17/2020
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