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Individual
TAMI MCDANIEL MOSSMAN
Active
Individual
TAMI MCDANIEL MOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13042
IL
101YP2500X
Professional Counselor
Primary
180004510
IL
Other
Enumeration date
06/04/2006
Last updated
10/02/2007
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