Individual
TAMMY NOVAK
Active
Individual
TAMMY NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MMHC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5370
TN
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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