Individual
TERESA LEE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 230-4600
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 293-3592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSWOOOOOO5623
TN
104100000X
Social Worker
—
—
Other
Enumeration date
03/02/2018
Last updated
02/14/2020
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