Individual
HARRY ROBERT GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2335 FEDERAL DR APT C12, DYERSBURG, TN 38024
(618) 889-0002
Mailing address
2335 FEDERAL DR APT C12, DYERSBURG, TN 38024-1945
(618) 889-0002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149007999
IL
1041C0700X
Clinical Social Worker
LSW0000005682
TN
Other
Enumeration date
03/24/2009
Last updated
06/04/2018
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