Agape | |
111 Racine St Memphis TN 38111-2707 | |
(901) 323-3600 | |
(901) 323-3640 |
Full Name | Agape |
---|---|
Speciality | Social Worker |
Location | 111 Racine St, Memphis, Tennessee |
Authorized Official Name and Position | David Jordan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9013233600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agape 111 Racine St Memphis TN 38111-2707 Ph: (901) 323-3600 | Agape 111 Racine St Memphis TN 38111-2707 Ph: (901) 323-3600 |
NPI Number | 1821120502 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821120502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
104100000X | Social Worker | (* (Not Available)) | Primary |
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