Individual
MRS. PATRISHA FAYE TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1360 MACKEY BRANCH DR, CHATTANOOGA, TN 37421-3225
(423) 443-3336
Mailing address
320 N PETERS RD STE C, KNOXVILLE, TN 37922-7509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11208
TN
1041C0700X
Clinical Social Worker
Primary
8035
TN
Other
Enumeration date
09/28/2020
Last updated
06/29/2023
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