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Individual

TIANDREA SCRIVEN

Active
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Individual

TIANDREA SCRIVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LCASA

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26429
NC
104100000X
Social Worker
I.2304359
OH
1041C0700X
Clinical Social Worker
Primary
C014843
NC

Other

Enumeration date
09/23/2019
Last updated
08/31/2023
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