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Individual

MRS. CAROLE LOVELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD LCSW

Contact information

Practice address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 520-8435
(931) 372-7225
Mailing address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 520-8435
(931) 372-7225

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000001169
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3694460
TN
Enumeration date
11/15/2005
Last updated
05/19/2011
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