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Individual
TIFFANYE TEAGARDEN-BROWN
Active
Individual
TIFFANYE TEAGARDEN-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013040
MI
101YP2500X
Professional Counselor
Primary
6401013040
MI
106H00000X
Marriage & Family Therapist
4101006543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13645747
CAQH
MI
Enumeration date
12/27/2012
Last updated
09/18/2020
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