Duckworth, Tabitha Yvette

Duckworth, Tabitha Yvette is an individual health care provider with primary practice located at 619 S Marion Ave Lake City Va Medical Center, Lake City FL 32025-5808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Duckworth, Tabitha Yvette can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City Va Medical Center Lake City FL 32025-5808
Phone: (386) 755-3016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S0021568 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0700249 Ohio

Profile Details

NPI number 1386773638
LBN Legal business name Duckworth, Tabitha Yvette
Credentials LISW-SUPV
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Nov 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers