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Individual
MR. JEFFREY W TEPPER
Active
Individual
MR. JEFFREY W TEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
214393
MA
1041C0700X
Clinical Social Worker
Primary
54202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214393
LCSW
MA
01
—
54202
TEXAS BOARD OF SOCIAL WORK EXAMINERS
TX
Enumeration date
07/30/2007
Last updated
08/31/2010
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