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Individual
TERESA TAFT
Active
Individual
TERESA TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W. LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148106
BLUE SHIELD OF IDAHO
—
01
—
2687TA
ASURIS NW HEALTH
—
01
—
7655221
AETNA
—
Enumeration date
10/21/2005
Last updated
12/31/2007
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