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Individual
TIFFANY LEWIS
Active
Individual
TIFFANY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180016189
IL
101YM0800X
Mental Health Counselor
180016189
IL
101YP2500X
Professional Counselor
Primary
180016189
IL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/09/2017
Last updated
11/06/2024
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