Provider Information for 1346545613
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ELIZABETH BRIDGET WINDLEY LCSW
Sex: Female
NPI: 1346545613
Last Updated: 2022-06-27
Certification Date: 2022-06-27
Certification Date: 2022-06-27
Details
Name | Value | ||||||||||||
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NPI | 1346545613 | ||||||||||||
Enumeration Date | 2011-01-18 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 6130 CHRISTINA WOOD DR BARTLETT, TN 38135-6175 United States Phone: 901-494-8243 | Fax: | ||||||||||||
Primary Practice Address | 6130 CHRISTINA WOOD DR BARTLETT, TN 38135-6175 United States Phone: 901-494-8243 | Fax: | ||||||||||||
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