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Individual

DEBRA ANN TUTTLE

Active
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Individual

DEBRA ANN TUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3825
NE
1041C0700X
Clinical Social Worker
Primary
1384
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1384
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES LMSW
NE
01
—
3825
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES LMHP
NE
Enumeration date
03/01/2011
Last updated
03/01/2011
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