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Tabatha Johnson

Social Worker in Memphis, TN. Individual provider (NPI-1).

NPI number1013662220
StatusActive
Last updated in NPPESFeb 16, 2022

Details

NPI
1013662220
Entity type
Individual (NPI-1)
Name
Tabatha Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 16, 2022
Certification date
Feb 16, 2022
Last updated
Feb 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

4646 Poplar Ave Ste 325
Memphis, TN 38117-4433

Phone 901-649-2084

Mailing address

6950 Reese Rd
Memphis, TN 38133-4847

Phone 901-649-2084

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