Michelle Tennyson, MSW

NPI #1932496759 in Bolivar, Tennessee

Provider Information

NPI Number: 1932496759
Entity Type: Individual
Name: Michelle Tennyson, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MSW
Enumeration Date: Jun 30, 2011
Last Updated: Jun 30, 2011

Practice Location

Address: 10710 OLD HIGHWAY 64
City: Bolivar
State: Tennessee
ZIP Code: 38008-3587
Phone: (731) 658-6113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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