Joseph Wayne Self

NPI #1235846098 in Fayetteville, Tennessee

Provider Information

NPI Number
1235846098
Entity Type
Individual
Name
Joseph Wayne Self
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Nov 1, 2022
Last Updated
Nov 1, 2022

Practice Location

Address
207 ELK AVE S
ZIP Code
37334-3051
Phone
(931) 993-0878

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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