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Individual
MR. TIMOTHY P. STIPEK
Active
Individual
MR. TIMOTHY P. STIPEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, MSSA, LISW-SUPV
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
I.0005463-SUPV
OH
171M00000X
Case Manager/Care Coordinator
I.0005463-SUPV
OH
Other
Enumeration date
10/03/2023
Last updated
10/10/2023
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