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Individual
TERESA ALT
Active
Individual
TERESA ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-0009215-SUPV
OH
1041C0700X
Clinical Social Worker
I-0009215-SUPV
OH
1041S0200X
School Social Worker
I-0009215-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
02/10/2023
Last updated
11/13/2023
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