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Individual
TAHLANY GULLENS
Active
Individual
TAHLANY GULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33010975A
IN
106S00000X
Behavior Technician
Primary
BACB1099799
IN
Other
Enumeration date
04/28/2023
Last updated
05/03/2024
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