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Individual

TAWANNA IVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
PO BOX 31073, CLARKSVILLE, TN 37040-0018
(931) 321-1097
(931) 443-3406

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
8120
TN
1041C0700X
Clinical Social Worker
Primary
8120
TN

Other

Enumeration date
05/21/2018
Last updated
01/06/2026
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