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Individual

DEBORAH ANN TOME

Active
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Individual

DEBORAH ANN TOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11507
TX
1041C0700X
Clinical Social Worker
Primary
SW17465
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00L126
BLUE CROSS/BLUE SHIELD
TX
05
159867401
TX
01
87330Q
TRICARE
TX
Enumeration date
08/30/2006
Last updated
08/25/2020
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