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Individual
TERRI LILLER
Active
Individual
TERRI LILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161011
OH
1041C0700X
Clinical Social Worker
Primary
I1303604-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157389
—
OH
Enumeration date
09/21/2011
Last updated
08/15/2023
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