Individual
THOM EDD BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
218 N MAIN AVE, ERWIN, TN 37650-1234
(423) 743-1470
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
7131
TN
Other
Enumeration date
03/29/2018
Last updated
10/31/2019
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