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Individual
JILLIAN NICOLE TABAK
Active
Individual
JILLIAN NICOLE TABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013524
NC
Other
Enumeration date
01/03/2019
Last updated
09/23/2021
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