Individual
GERALD MAYBERRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 367-5922
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 367-5922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10529
TN
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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