Healthcare Provider Details

I. General information

NPI: 1982732889
Provider Name (Legal Business Name): DEBORAH GUERINGER STRAND L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 03/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2229 MASON WAY
CLARKSVILLE TN
37043-1836
US

IV. Provider business mailing address

2229 MASON WAY
CLARKSVILLE TN
37043-1836
US

V. Phone/Fax

Practice location:
  • Phone: 800-876-7093
  • Fax:
Mailing address:
  • Phone: 800-876-7093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: