TARA THIEMS

O FALLON, IL
NPI1144620774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.003221)
Enumeration Date2014-09-02
Last Update Date2014-09-02
Business Address
-- TARA THIEMS
634 N MAIN ST SUITE 3
O FALLON, IL 62269-3746
Phone number: 618-632-4222
Mailing Address
-- TARA THIEMS
105 FOX HILL CT
EDWARDSVILLE, IL 62025-5736
Phone number:
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