Individual provider · NPI-1

Tammy Melissa Benz-Yanken, LCSW

Social Worker, Clinical · Dublin, GA

NPI number1164524369
StatusActive
Last updated in NPPESMar 30, 2022

Details

NPI
1164524369
Entity type
Individual (NPI-1)
Name
Tammy Melissa Benz-Yanken
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 1, 2006
Certification date
Mar 30, 2022
Last updated
Mar 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW003839GAYes
104100000X Social WorkerMSW002082GA

Practice location

1826 Veterans Blvd
Dublin, GA 31021-3620

Phone 478-272-1210 · Fax 478-277-2823

Mailing address

569 Turkey Creek Cir
Dublin, GA 31021-2099

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