MRS. Miranda Ezell, LMSW

NPI #1417371394 in Tullahoma, Tennessee

Provider Information

NPI Number
1417371394
Entity Type
Individual
Name
MRS. Miranda Ezell, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Feb 12, 2014
Last Updated
Feb 12, 2014

Practice Location

Address
709 DAVIDSON ST
ZIP Code
37388-3607
Phone
(931) 247-7892

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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