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1134979305
TANIESHA PRENTICE
CHICAGO, IL
NPI
1134979305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.019301)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
TANIESHA PRENTICE
3701 N RAVENSWOOD AVE STE 301
CHICAGO, IL 60613-3878
Phone number: 312-612-9424
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Mailing Address
TANIESHA PRENTICE
525 S STATE ST APT 1329
CHICAGO, IL 60605-1616
Phone number: 312-371-9863
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