STEPHANIE IRENE BRAVEEAGLE

JACKSON, TN
NPI1700556479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TN  7802)
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
STEPHANIE IRENE BRAVEEAGLE LCSW
112 N LIBERTY ST
JACKSON, TN 38301-6200
Phone number: 731-610-8862
Mailing Address
STEPHANIE IRENE BRAVEEAGLE LCSW
112 N LIBERTY ST
JACKSON, TN 38301-6200
Phone number: 731-610-8862
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