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Individual

GRETA TAVE-SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBSW

Contact information

Practice address
7328 MANASSAS LN, TYLER, TX 75703-7322
(903) 525-9633
Mailing address
7328 MANASSAS LN, TYLER, TX 75703-7322
(903) 525-9633

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
26928
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26928
LBSW
TX
Enumeration date
07/24/2009
Last updated
08/31/2010
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