Individual
NAKEESHA LONGMIRE
Active
Individual
NAKEESHA LONGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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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