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Individual
TIA R HINKLE
Active
Individual
TIA R HINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33006964A
IN
1041C0700X
Clinical Social Worker
Primary
34008705A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266431038
MEDICARE PTAN
IN
05
—
300078747
—
IN
Enumeration date
12/11/2017
Last updated
09/29/2023
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