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Individual
TAMMY M STAGE
Active
Individual
TAMMY M STAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-SUPERVISION
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1200462-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203519
—
OH
Enumeration date
02/06/2013
Last updated
07/21/2022
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