Individual
MS. MARY S YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 21ST AVE S STE 305, NASHVILLE, TN 37212-4927
(434) 484-2132
Mailing address
307 GRACE ST, NASHVILLE, TN 37207-5838
(434) 484-2132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C012783
NC
1041C0700X
Clinical Social Worker
Primary
0904003136
VA
1041C0700X
Clinical Social Worker
LSW0000008333
TN
Other
Enumeration date
02/16/2007
Last updated
07/12/2023
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