Individual
MARY W ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8566 CORDES CIR, GERMANTOWN, TN 38139-3317
(901) 755-8111
Mailing address
8566 CORDES CIR, GERMANTOWN, TN 38139-3317
(901) 755-8111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3361
STATE OF TENNESSEE
TN
Enumeration date
08/30/2019
Last updated
02/14/2020
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