Individual
STEPHANIE M COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
557 W PARK PL, HENDERSON, TN 38340-2027
(731) 989-1007
(731) 989-0704
Mailing address
557 W PARK PL, HENDERSON, TN 38340-2027
(731) 989-1007
(731) 989-0704
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11219
TN
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
7260
TN
Other
Enumeration date
06/20/2017
Last updated
01/29/2022
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