Individual
MERYL RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 658-6113
(731) 658-6165
Mailing address
5690 OLD HIGHWAY 64, WHITEVILLE, TN 38075-8404
(731) 658-6113
(731) 658-6165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW 974
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4088431
BCBS PROVIDER NUMBER
TN
Enumeration date
08/30/2006
Last updated
07/09/2007
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