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Individual
MRS. SIMIKO STEWART-TIANYVU
Active
Individual
MRS. SIMIKO STEWART-TIANYVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0190
GA
101YP2500X
Professional Counselor
Primary
007667
GA
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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