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Individual
TATYANA O SHIELDS
Active
Individual
TATYANA O SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
099773
NY
1041C0700X
Clinical Social Worker
Primary
44SC05995800
NJ
1041C0700X
Clinical Social Worker
CW022019
PA
Other
Enumeration date
01/12/2017
Last updated
10/18/2025
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