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1033701487
TANYA M PARKER
GRANITE CITY, IL
NPI
1033701487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.022954)
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
TANYA M PARKER LCSW
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040-6805
Phone number: 618-877-4420
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Mailing Address
TANYA M PARKER LCSW
448 WYLIE DR
NORMAL, IL 61761-5405
Phone number: 888-924-3786
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