Individual
SARA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PARK AVE, LEBANON, TN 37087-3721
(615) 449-0500
(615) 453-7214
Mailing address
PO BOX 521, MOUNT JULIET, TN 37121-0521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5969
TN
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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