TARA ULIS

DECATUR, IL
NPI1205113826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149.014805)
Enumeration Date2011-11-10
Last Update Date2011-11-10
Business Address
TARA ULIS LCSW
102 W KENWOOD AVE STE 120A
DECATUR, IL 62526-4302
Phone number: 217-520-1047
Mailing Address
TARA ULIS LCSW
102 W KENWOOD AVE STE 120A
DECATUR, IL 62526-4302
Phone number: 217-520-1047
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