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Individual
TIFFANY MCBRIDE
Active
Individual
TIFFANY MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
178.008174
IL
Other
Enumeration date
05/07/2012
Last updated
08/04/2014
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