Individual
MS. TAMARA ELIZABETH CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904017150
VA
1041C0700X
Clinical Social Worker
Primary
16682
SC
1041C0700X
Clinical Social Worker
18836
TX
1041C0700X
Clinical Social Worker
34497
MN
1041C0700X
Clinical Social Worker
5737C
AL
1041C0700X
Clinical Social Worker
CSW.09933413
CO
Other
Enumeration date
01/12/2021
Last updated
08/06/2026
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