Paauola, Marilyn R
Paauola, Marilyn R is an individual health care provider with primary practice located at 1135 Cully Rd Ste 100, Cordova TN 38016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Paauola, Marilyn R can be contacted via phone (901) 752-1980.Contact Information
Primary practice address
1135 Cully Rd Ste 100
Cordova TN 38016
Phone: (901) 752-1980
Fax: (901) 309-8784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 03032 | Tennessee |
Profile Details
| NPI number | 1477660587 |
|---|---|
| LBN Legal business name | Paauola, Marilyn R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477660587 | NPPES |
| Tennessee | MEDICAID | 3696529 |
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