Individual
TERRY L. BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
115 28TH AVE N, NASHVILLE, TN 37203-1411
(615) 862-2269
(615) 320-8751
Mailing address
1212 WINDING WAY, NASHVILLE, TN 37216
(615) 228-1706
(615) 320-8751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000904
TN
Other
Enumeration date
07/05/2006
Last updated
07/09/2007
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