Individual
MRS. LAWANDA IHENETU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
606 E SPRING ST, COOKEVILLE, TN 38501-5066
(931) 255-1476
Mailing address
606 E SPRING ST, COOKEVILLE, TN 38501-5066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000008471
TN
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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