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1043614803
JOTHAM TIARKS
CHAMPAIGN, IL
NPI
1043614803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
-- JOTHAM TIARKS LCPC
201 W SPRINGFIELD AVE SUITE 605
CHAMPAIGN, IL 61820-6385
Phone number: 217-722-9079
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Mailing Address
-- JOTHAM TIARKS LCPC
201 W SPRINGFIELD AVE SUITE 605
CHAMPAIGN, IL 61820-6385
Phone number: 217-722-9079
Copy
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