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Individual
TARA LYNN PINNACOLI
Active
Individual
TARA LYNN PINNACOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW12666
FL
101YM0800X
Mental Health Counselor
SW129563
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW018468
LICENSE NUMBER
PA
01
—
SW12666
LICENSE NUMBER
FL
Enumeration date
08/13/2013
Last updated
02/26/2016
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