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NPI Code Detail

MEDICARE: ROBERT FERRY LCSW

MEDICARE:   ROBERT  FERRY  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1649766395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT FERRY LCSW
Provider Business Mailing Address
First Line : 4205 LUFKIN CT
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-2511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2044 SAINT JAMES ST
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-5653
Country : US
Telephone Number : 615-869-9921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2018
Last Update Date : 07/05/2018

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