Reba A Terry, LCSW
Social Worker, Clinical in Cleveland, TN. Individual provider (NPI-1).
NPI number1093355331
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1093355331
- Entity type
- Individual (NPI-1)
- Name
- Reba A Terry
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2020
- Certification date
- Jun 15, 2023
- Last updated
- Jun 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LSW0000004271 | TN | Yes |
Practice location
3520 Ozark St NwCleveland, TN 37312-2513
Phone 423-421-7322
Mailing address
3520 Ozark St NwCleveland, TN 37312-2513
Phone 423-421-7322
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