Individual
JEANINE TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 S WILLOW DR STE 203, HOUSTON, TX 77035-4700
(713) 485-4675
(833) 731-0024
Mailing address
5600 S WILLOW DR STE 203, HOUSTON, TX 77035-4700
(713) 485-4675
(833) 731-0024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62768
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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