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Individual
THOMAS D TERWILLIGER
Active
Individual
THOMAS D TERWILLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167344
KY
104100000X
Social Worker
252031
KY
1041C0700X
Clinical Social Worker
252031
KY
1041C0700X
Clinical Social Worker
Primary
CSW.09928712
CO
Other
Enumeration date
04/03/2017
Last updated
12/08/2022
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