Individual
GERIK MARK TATARZYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
203 WELLS ST APT 101, JACKSON, TN 38301-7788
(937) 672-6968
Mailing address
203 WELLS ST APT 101, JACKSON, TN 38301-7788
(937) 672-6968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007805A
IN
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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