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NPI Code Detail

MEDICARE: MRS. HALEY WHETSTONE LMSW

MEDICARE: MRS. HALEY WHETSTONE LMSW
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 WorkerLSW0000012543TN

General Provider Information

NPI Number : 1952919821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HALEY WHETSTONE LMSW
Provider Business Mailing Address
First Line : 564 SUNFLOWER DR
Second Line :
City : SMYRNA
State : TN
Zip : 37167-1240
Country : US
Telephone Number : 615-962-3261
Fax Number :
Provider Business Practice Location Address
First Line : 2031 N MOUNT JULIET RD STE 201
Second Line :
City : MT JULIET
State : TN
Zip : 37122-4498
Country : US
Telephone Number : 615-438-3615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2020
Last Update Date : 07/16/2020

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Directions to “ MRS. HALEY WHETSTONE LMSW” Practice Location

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