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Individual
MRS. TAWANNA KAY FRAZIER LUMPKINS
Active
Individual
MRS. TAWANNA KAY FRAZIER LUMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMHC LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14620
FL
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751351896
MEDICAID WAIVER
FL
01
—
751351898
MEDICAID WAIVER
FL
Enumeration date
08/19/2011
Last updated
12/29/2023
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