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Individual
AUTUMN LLOYD
Active
Individual
AUTUMN LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178011554
IL
101Y00000X
Counselor
Primary
180.010282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178011554
LICENSE
IL
Enumeration date
01/08/2016
Last updated
05/04/2016
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