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1356516249
TINELLYA L HANNAH
FORT BLISS, TX
NPI
1356516249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-07753)
Enumeration Date
2008-04-23
Last Update Date
2024-10-15
Business Address
TINELLYA L HANNAH LCSW
2487 CARRINGTON ROAD
FORT BLISS, TX 79906
Phone number: 915-742-1615
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Mailing Address
TINELLYA L HANNAH LCSW
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-1615
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