Individual
MRS. MARY BARCLAY GRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
248 DAN HEAD ROAD, POCAHONTAS, TN 38061-4220
(731) 646-0065
(731) 646-0071
Mailing address
248 DAN HEAD ROAD, POCAHONTAS, TN 38061-4220
(731) 646-0065
(731) 646-0071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C5803
MS
1041C0700X
Clinical Social Worker
Primary
3180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040477
CIGNA
TN
01
—
3155253
BCBS
TN
01
—
7241190
AETNA
TN
05
—
G00678588
—
MS
Enumeration date
08/04/2006
Last updated
11/17/2011
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