Provider Information for 1134594476
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TAMMY L ABEL LCSW
Sex: Female
NPI: 1134594476
Last Updated: 2023-06-16
Certification Date: 2023-06-16
Certification Date: 2023-06-16
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134594476 | ||||||||||||
| Enumeration Date | 2015-12-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 1080 BURKESVILLE, KY 42717-1080 United States Phone: 270-858-6655 | Fax:270-858-4607 | ||||||||||||
| Primary Practice Address | 311 W HIGH ST LEBANON, KY 40033-1427 United States Phone: 270-692-2774 | Fax:270-692-2774 | ||||||||||||
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