Individual
MARY GRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-LCSW
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5621
(423) 232-2600
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7247
TN
1041C0700X
Clinical Social Worker
LC8876
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311690099
—
ME
Enumeration date
08/20/2006
Last updated
02/18/2020
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