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Individual

MS. TAMARA ELIZABETH CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(619) 373-5121
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013
(312) 733-9730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16682
SC

Other

Enumeration date
01/12/2021
Last updated
09/13/2024
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