Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | LSW0000013018 | TN |
NPI | 1003497363 |
---|---|
Provider Name | Tamera Jean Scorpio |
First Address | Clarksville, TN 37042-8163 |
Second Address | Clarksville, TN 37043-5067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2021 |
Last Update Date | 20/04/2021 |