Individual
ABIGAIL L TACKITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5504 WAYNE AVE, LUBBOCK, TX 79414-4137
(806) 855-3050
Mailing address
5526 GRINNELL ST, LUBBOCK, TX 79416-1112
(806) 787-0237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1952188542
TX
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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