Individual
MARY DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 STANFORD AVE, LEXINGTON, TN 38351-2141
(731) 203-1973
Mailing address
50 STANFORD AVE, LEXINGTON, TN 38351-2141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5464
TN
Other
Enumeration date
08/12/2021
Last updated
06/23/2023
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