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Individual
STEPHANIE PITT
Active
Individual
STEPHANIE PITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.021619
IL
133V00000X
Registered Dietitian
164.005608
IL
133V00000X
Registered Dietitian
2006000506
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871047217
—
IL
Enumeration date
08/14/2016
Last updated
06/17/2025
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