Individual
DEBRA TAZEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-2584
Mailing address
2304 ALABAMA AVE, TUSKEGEE INSTITUTE, AL 36088-2408
(334) 727-0550
(334) 725-2584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0042C
AL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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