Tabatha Enis LCSW

NPI 1225442239 - Social Worker - 1041C0700X

NPI Details
NPI 1225442239
Gender Female
Enumeration Date 06/17/2014
Last Updated 06/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
399 OLD HIGHWAY 15 N
PONTOTOC MS, 38863-1111, US
Phone (662) 760-2405
Fax
Business Location
399 OLD HIGHWAY 15 N
PONTOTOC MS, 38863-1111, US
Phone (662) 760-2405
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Mississippi
License Number C2858
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According to our database, Mrs. Tabatha Enis LCSW NPI is 1225442239, taxonomy code is 1041C0700X and license number is C2858, license state is located at Mississippi. Tabatha Enis LCSW physically located at 399 Old Highway 15 N, Pontotoc MS, 38863-1111. NPI Number Tabatha Enis LCSW has the Individual type.

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1225442239 NPI number is provided on an as is basis without warranty of any kind. 1225442239 is maintained by the National Plan & Provider Enumeration System. The contents of Tabatha Enis LCSW are for informational purposes only.