Individual
NIKKI REYNOLDS TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7345 COURAGE WAY, CHATTANOOGA, TN 37421-1555
(423) 605-9797
(423) 605-9796
Mailing address
221 RIVER BEND DR, OCOEE, TN 37361-3437
(423) 421-0879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5753
TN
Other
Enumeration date
05/17/2013
Last updated
10/03/2013
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