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Individual
TIFFANY D THURMON
Active
Individual
TIFFANY D THURMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000650785
ANTHEM BCBS
IN
05
—
100133060
—
IN
Enumeration date
03/20/2008
Last updated
06/30/2017
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