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Individual
TARA CHRISTINA SHELDON
Active
Individual
TARA CHRISTINA SHELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-04-16
OR
1041C0700X
Clinical Social Worker
Primary
L7932
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
06/13/2011
Last updated
02/26/2020
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