Individual
MR. GARY LYNN TESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
313 N SELVIDGE ST STE 105, DALTON, GA 30720-3261
(423) 667-4063
(706) 529-5237
Mailing address
3621 GLEN OAKS DRIVE, CHATTANOOGA, TN 37412
(423) 867-5290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1431
GA
1041C0700X
Clinical Social Worker
586
TN
Other
Enumeration date
11/08/2005
Last updated
10/29/2024
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