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Individual
DIANN DITTO THIGPEN
Active
Individual
DIANN DITTO THIGPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW85196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992013544
OTHER
CA
Enumeration date
09/16/2010
Last updated
09/04/2019
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