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Individual
TIANNA WILLIG
Active
Individual
TIANNA WILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00071846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00071846
—
NY
05
—
00077603
—
NY
01
—
00400166001
HEALTHNOW INTEGRATED
—
01
—
11645161
CAQH
—
01
—
484455
MANAGED HEALTH NETWORK
—
01
—
53088
MVP
—
Enumeration date
07/28/2006
Last updated
11/29/2011
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