Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003145442 |
---|---|
Provider Name | Lisa Hare |
First Address | Nashville, TN 37204-2235 |
Second Address | Nashville, TN 37212-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2009 |
Last Update Date | 24/09/2014 |