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Individual
REBECCA K TANGEN
Active
Individual
REBECCA K TANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089490
NY
1041C0700X
Clinical Social Worker
CSW.09929814
CO
1041C0700X
Clinical Social Worker
LICSW1121329
MA
1041C0700X
Clinical Social Worker
MBTSWO-43924
ID
Other
Enumeration date
03/02/2018
Last updated
12/02/2024
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