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Contact Information

DEDRIA K TANTON, LBSW
140 CR 2683 -- GUN STREET
RYE, TX77369
 Phone: 936-274-4649
 Fax: 936-274-4649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for DEDRIA K TANTON · (Female)

NPI Number 1336474071
Status Active
Credentials LBSW
Entity Individual
Enumeration date 10/14/2009
Last updated 10/16/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 41790
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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