Individual
REBA A TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3520 OZARK ST NW, CLEVELAND, TN 37312-2513
(423) 421-7322
Mailing address
3520 OZARK ST NW, CLEVELAND, TN 37312-2513
(423) 421-7322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004271
TN
Other
Enumeration date
01/15/2020
Last updated
06/15/2023
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