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Individual
TIFFANY R SCHAEFER
Active
Individual
TIFFANY R SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178008635
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14133100
CAQH PROVIDER ID
—
01
—
178008635
PROFESSIONAL COUNSELOR
IL
Enumeration date
11/06/2017
Last updated
11/06/2017
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