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Contact Information

HARRY R GILLEY, LCSW
2335 FEDERAL DR APT C12
DYERSBURG, TN38024
 Phone: 618-889-0002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for HARRY R GILLEY · (Male)

NPI Number 1891937736
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/24/2009
Last updated 06/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149007999
  • TN License # LSW0000005682
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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