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Individual
MS. TETTY GORFINE
Active
Individual
MS. TETTY GORFINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1890697
—
MA
01
—
LM0747
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/17/2007
Last updated
07/09/2007
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