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Individual
MS. TIFFANY SUSAN MOORE-CORTEVILLE
Active
Individual
MS. TIFFANY SUSAN MOORE-CORTEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 19984
CA
101YM0800X
Mental Health Counselor
LLMSW 6801090559
MI
101YM0800X
Mental Health Counselor
LMSW 6801090559
MI
104100000X
Social Worker
6801090559
MI
1041C0700X
Clinical Social Worker
Primary
091298-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19984
ASW REGISTRATION NUMBER
CA
01
—
2781209
UNIVERSITY OF THE STATE OF NEW YORK, EDUCATION DEPARTMENT, OFFICE OF PROFESSIONS
—
01
—
6801090559
MICHIGAN DEPT OF COMMUNITY HEALTH
MI
Enumeration date
12/11/2006
Last updated
03/24/2025
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