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Individual
JEAN K TIERNAN
Active
Individual
JEAN K TIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
149.017623
IL
1041C0700X
Clinical Social Worker
6801108606
MI
Other
Enumeration date
04/20/2007
Last updated
10/18/2023
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