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Individual

TIFFANY ANN CREAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
1948 W BOULEVARD, KOKOMO, IN 46902-6078
(765) 452-5437
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 722-5151

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006093A
IN
1041S0200X
School Social Worker
10096636
IN

Other

Enumeration date
06/06/2017
Last updated
06/06/2017
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