Individual
JENNIFER STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
216 LAUREL DR, ADAMSVILLE, TN 38310-1924
(731) 607-8606
Mailing address
216 LAUREL DR, ADAMSVILLE, TN 38310-1924
(731) 607-8606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8786
TN
Other
Enumeration date
12/10/2018
Last updated
05/15/2024
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