Individual
MS. CLOYE ANITA BARNHART-GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21205 HYW 22, MC KENZIE, TN 38201-1649
(731) 352-1401
(731) 352-1402
Mailing address
21205 HYW 22, MC KENZIE, TN 38201-1649
(731) 352-1401
(731) 352-1402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507746
—
TN
Enumeration date
10/31/2005
Last updated
10/26/2015
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