Tammy Medlen

NPI #1164924874 in Thibodaux, Louisiana

Provider Information

NPI Number: 1164924874
Entity Type: Individual
Name: Tammy Medlen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 8, 2018
Last Updated: Dec 12, 2022

Practice Location

Address: 1418 TIGER DR
City: Thibodaux
State: Louisiana
ZIP Code: 70301-4337
Phone: (985) 449-4055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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