Individual provider · Type 1 NPI

Mike Thomas Tattershall, LISW

School Social Worker · Roswell, NM

NPI number 1265571731 Active

Practice location

300 N Kentucky Ave
Roswell, NM 88201-4636

Fax (505) 627-2544

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XI-3505 (NM)

School Social Worker: Definition to come...

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About NPI 1265571731

Mike Thomas Tattershall, LISW's National Provider Identifier is 1265571731, issued on Feb 5, 2007. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Roswell, NM. The record was last updated on Jul 9, 2007.