Individual
STEPHANIE JOY TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
5022 AMERICAN PKWY APT 176, MADISON, WI 53718-6444
(903) 905-1569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110881
TX
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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