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Individual
MS. PATRICIA ANN TABB
Active
Individual
MS. PATRICIA ANN TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.W APRIL.2014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
T100676067323
MI
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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