Individual
ASHLEY TATUM
Active
Individual
ASHLEY TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9963-M
AR
1041C0700X
Clinical Social Worker
Primary
I.2506658
OH
171M00000X
Case Manager/Care Coordinator
0000
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14616315
CAQH
—
Enumeration date
02/03/2020
Last updated
06/12/2026
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