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Individual
TYLER OREM
Active
Individual
TYLER OREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32525
IL
1041C0700X
Clinical Social Worker
Primary
149.021571
IL
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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