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Individual

TINA MARIA MUSACCHIA

Active
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Individual

TINA MARIA MUSACCHIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9523
LA
1041C0700X
Clinical Social Worker
LSW4474
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3927714
TN
Enumeration date
07/19/2005
Last updated
08/02/2007
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