Individual
MS. TAMRA JO TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 WEDDINGTON BRANCH RD STE B, PIKEVILLE, KY 41501-3296
(606) 637-6377
Mailing address
50 WEDDINGTON BRANCH RD STE B, PIKEVILLE, KY 41501-3296
(606) 637-6377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
256542
KY
Other
Enumeration date
06/22/2021
Last updated
06/21/2022
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