Individual
MS. TANIA M. DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089987
IA
1041C0700X
Clinical Social Worker
Primary
C011169
NC
Other
Enumeration date
09/03/2014
Last updated
04/22/2025
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