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Individual
TENNE WORDSWORTH
Active
Individual
TENNE WORDSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008259
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600941914
—
VA
Enumeration date
01/29/2014
Last updated
03/20/2017
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