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Individual

TIFFANY MAY HENDRICKS BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
500 ADAMS ST, SEWARD, AK 99664-0640
(907) 769-1779
Mailing address
PO BOX 221795, ANCHORAGE, AK 99522-1795

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13000
LA
1041C0700X
Clinical Social Worker
Primary
133974
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13000
LICENSE MASTERS SOCIAL WORKER
LA
Enumeration date
04/14/2015
Last updated
11/07/2023
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