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Individual
TERESIA HOPSON
Active
Individual
TERESIA HOPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004883A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320433
ANTHEM
IN
Enumeration date
10/13/2005
Last updated
07/22/2014
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