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Individual

TAMMANY LATRICE BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSSW

Contact information

Practice address
916 LYDIA ST, LOUISVILLE, KY 40217-1214
(502) 741-6873
Mailing address
916 LYDIA ST, LOUISVILLE, KY 40217-1214

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252708
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001508
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
252708
CSW
KY
01
LCSW00001508
LCSW
KY
Enumeration date
07/31/2019
Last updated
05/22/2026
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