Tamara Lynn Junge, LISW
Social Worker, Clinical in Defiance, OH. Individual provider (NPI-1).
NPI number1285115147
StatusActive
Last updated in NPPESSep 11, 2018
Details
- NPI
- 1285115147
- Entity type
- Individual (NPI-1)
- Name
- Tamara Lynn Junge
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2018
- Last updated
- Sep 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1100067-SUPV | OH | Yes |
Practice location
1252 Ralston Avenue#401
Defiance, OH 43512
Phone 419-783-6805 · Fax 419-783-6804
Mailing address
1 Seagate Ste 800Toledo, OH 43604-1558
Phone 567-585-1918 · Fax 419-824-7359
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