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Individual

AMY NICCOLE MADDEN-RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2080 WOODRUFF AVE, GREENBRIER, TN 37073-4671
(615) 612-9649
Mailing address
2080 WOODRUFF AVE, GREENBRIER, TN 37073-4671
(615) 859-2834

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSW0000004401
TN

Other

Enumeration date
03/01/2007
Last updated
07/13/2021
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