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Individual
MRS. TONYA DAWN FARRER
Active
Individual
MRS. TONYA DAWN FARRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP, CAAC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6301009645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0997622
HEALTH PLUS OF MICHIGAN
MI
01
—
1014832
MCLAREN
MI
Enumeration date
03/02/2007
Last updated
10/17/2011
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