RICHARD TATUM

LAWRENCEVILLE, GA
NPI1487105037
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  048149)
Enumeration Date2016-10-19
Last Update Date2016-10-19
Business Address
-- RICHARD TATUM
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
-- RICHARD TATUM
226 OVEROOK PARK LN
LAWRENCEVILLE, GA 30043
Phone number: 770-549-5118