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Individual
MRS. BILLIE S WORTHAM
Active
Individual
MRS. BILLIE S WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A933
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01025866
SPECIALITY LICENSE
—
05
—
104250500
—
WY
Enumeration date
12/06/2005
Last updated
04/20/2009
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