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NPI Code Detail

MEDICARE: CHIVONNE J MAYS LAPSW

MEDICARE: CHIVONNE J MAYS LAPSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLSW451TN

General Provider Information

NPI Number : 1154064905
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIVONNE J MAYS LAPSW
Provider Business Mailing Address
First Line : 12 CHURCHILL DOWNS
Second Line :
City : HUMBOLDT
State : TN
Zip : 38343-8663
Country : US
Telephone Number : 731-293-5985
Fax Number :
Provider Business Practice Location Address
First Line : 39 MURRAY GUARD DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-3610
Country : US
Telephone Number : 731-736-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2022
Last Update Date : 04/19/2022

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Directions to “ CHIVONNE J MAYS LAPSW” Practice Location

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