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Individual

MRS. TABATHA O HALLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
426 EAST G STREET, ELIZABETHTON, TN 37643
(423) 547-5950
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DRIVE, POB 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5956
TN
1041C0700X
Clinical Social Worker
9274
SC

Other

Enumeration date
10/24/2012
Last updated
06/23/2014
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