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Individual
MRS. TANYA JOYCE ROCK
Active
Individual
MRS. TANYA JOYCE ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801066400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119754(MHS)
VALUE OPTIONS
MI
05
—
1726
—
MI
01
—
80-0-89-3855-0
BCBS-MICHIGAN
MI
01
—
800008513
RAILROAD MEDICARE PROVIDE
MA
05
—
BLACK-0013
—
MA
05
—
COUN04-99298
—
MI
Enumeration date
07/02/2005
Last updated
11/13/2016
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