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Individual
MRS. TIANNA RENE BURROUGHS
Active
Individual
MRS. TIANNA RENE BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006307A
IN
1041C0700X
Clinical Social Worker
7246
TN
Other
Enumeration date
04/13/2020
Last updated
02/06/2023
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