Individual
MR. TONY D. MCANALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1037 CRESTHAVEN RD, MEMPHIS, TN 38119-3833
(901) 763-4357
(901) 767-4728
Mailing address
1037 CRESTHAVEN RD, MEMPHIS, TN 38119-3833
(901) 763-4357
(901) 767-4728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4033634
BLUECROSS BLUESHIELD
TN
Enumeration date
01/05/2007
Last updated
07/08/2007
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