Individual
MARY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1203 MEMORIAL BLVD STE E, MURFREESBORO, TN 37129
(615) 904-6490
Mailing address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 726-3340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6951
TN
Other
Enumeration date
02/12/2019
Last updated
08/12/2019
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