Individual
JAKAY LAMARR MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1477 TINY TOWN RD # 297, CLARKSVILLE, TN 37042-7202
(931) 251-9722
Mailing address
1477 TINY TOWN RD # 297, CLARKSVILLE, TN 37042-7202
(931) 251-9722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000012424
TN
1041C0700X
Clinical Social Worker
Primary
8103
TN
Other
Enumeration date
06/17/2021
Last updated
08/06/2024
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