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Individual

GEORGE THOMAS DELBRIDGE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
122 W BARTON RIDGE RD, GREENEVILLE, TN 37743-6199
(662) 321-2545
Mailing address
122 W BARTON RIDGE RD, GREENEVILLE, TN 37743-6199
(662) 321-2545

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6827
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6827
LCSW
TN
Enumeration date
06/18/2019
Last updated
03/07/2023
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