Individual
LEIGH SCOTTEN TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2146 FRAYSER BLVD, MEMPHIS, TN 38127-5755
(901) 302-4361
(865) 342-0121
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11814
TN
104100000X
Social Worker
Primary
LSW7842
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2017
Last updated
09/22/2021
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