NPI | 1841299294 |
---|---|
Former Name | LEASA SATTERFIELD TEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW4707) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN CSW6212) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2010-08-23 |