Individual
CLARISSA BRADLEY DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 PRINCETON RD STE 2, JOHNSON CITY, TN 37601-2040
(423) 923-0888
Mailing address
150 TWIN OAKS DR, JONESBOROUGH, TN 37659-5704
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10303
TN
1041C0700X
Clinical Social Worker
8151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740841352
—
TN
Enumeration date
06/25/2019
Last updated
03/06/2023
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