Individual
MRS. TAMARA ELISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4646 POPLAR AVE STE 325, MEMPHIS, TN 38117-4433
(901) 443-8895
Mailing address
5479 BLIMEY CV, MEMPHIS, TN 38116-9438
(769) 243-2465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12931
TN
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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