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Individual

MR. TERRY LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2200 21ST AVE S, SUITE NUMBER 222, NASHVILLE, TN 37212-4942
(515) 519-4721
Mailing address
2200 21ST AVE S, SUITE NUMBER 222, NASHVILLE, TN 37212-4942
(515) 519-4721

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005783
TN

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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