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Individual
MRS. TAMMI W PLANTAN
Active
Individual
MRS. TAMMI W PLANTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2301
NC
103TC0700X
Clinical Psychologist
2301
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005477
NC
Other
Enumeration date
05/22/2008
Last updated
01/18/2012
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