Individual ProviderKema Cris Marie FisherSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127(901) 523-8990(901) 876-5810PECOS EnrollmentBased on the most recent information from CMS, provider Kema Cris Marie Fisher does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588988158Provider TypeIndividualFull NameFisher, Kema Cris MarieTitleMrs.CredentialLCSW, LADAC, BCDGenderFemaleSole ProprietorYesEnumeration Date3/25/2010Last Updated3/25/2010Contact InformationPractice LocationPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127Phone(901) 523-8990FaxUnlisted FaxMailing LocationMailing Address1910 Campbell Rd, Millington, TN 38053-6006Phone(901) 876-5810Fax(901) 876-5810Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense4390TennesseeCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense69Tennessee