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Individual

TYLER CLEMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6110 SHALLOWFORD RD STE B, CHATTANOOGA, TN 37421-1894
(205) 213-4062
Mailing address
6110 SHALLOWFORD RD STE B, CHATTANOOGA, TN 37421-1894

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10917
TN
104100000X
Social Worker
Primary
7358
TN

Other

Enumeration date
11/17/2018
Last updated
11/10/2020
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