MEDICARE: KAREN P REED LCSW

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
1	1041C0700X	Clinical Social Worker	LSW0000004774	TN

General Provider Information

NPI Number	:	1942441894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN P REED LCSW

Provider Business Mailing Address
First Line	:	6510 STAGE RD
Second Line	:	SUITE 3
City	:	BARTLETT
State	:	TN
Zip	:	38134-3892
Country	:	US
Telephone Number	:	901-387-0026
Fax Number	:	901-552-4737

Provider Business Practice Location Address
First Line	:	6510 STAGE RD
Second Line	:	SUITE 3
City	:	BARTLETT
State	:	TN
Zip	:	38134-3892
Country	:	US
Telephone Number	:	901-387-0026
Fax Number	:	901-552-4737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	04/05/2012

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