Individual
MS. BESSIE NAOMI COSTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1821 HAYNES ST STE 3, CLARKSVILLE, TN 37043
(931) 980-1584
Mailing address
5451 HIGHWAY 49 W, VANLEER, TN 37181-5036
(931) 980-1584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5175
TN
Other
Enumeration date
12/05/2011
Last updated
06/25/2018
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