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Individual
TIFFANY L SCOGGINS
Active
Individual
TIFFANY L SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-68996
IL
Other
Enumeration date
03/06/2019
Last updated
12/02/2019
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