Provider Demographics
NPI:1841340122
Name:HUNTER, TAMBRA JOAN (BASW)
Entity type:Individual
Prefix:MS
First Name:TAMBRA
Middle Name:JOAN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:BASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 ELM ST APT C
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-2080
Mailing Address - Country:US
Mailing Address - Phone:765-720-2753
Mailing Address - Fax:
Practice Address - Street 1:141 MARTINSVILLE ST
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-2233
Practice Address - Country:US
Practice Address - Phone:765-653-2018
Practice Address - Fax:765-653-6171
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker