Individual
TAMERA S ENGLEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(253) 363-4567
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61043365
WA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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