Individual
TATYANA DEMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
793 TENNESSEE ST, BOLIVAR, TN 38008-2441
(731) 228-9068
(901) 425-9773
Mailing address
793 TENNESSEE ST, BOLIVAR, TN 38008-2441
(731) 228-9068
(901) 425-9773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
15967
TN
Other
Enumeration date
11/11/2025
Last updated
04/08/2026
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