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1205113826
TARA ULIS
DECATUR, IL
NPI
1205113826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.014805)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
-- TARA ULIS LCSW
102 W KENWOOD AVE STE 120A
DECATUR, IL 62526-4302
Phone number: 217-520-1047
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Mailing Address
-- TARA ULIS LCSW
102 W KENWOOD AVE STE 120A
DECATUR, IL 62526-4302
Phone number: 217-520-1047
Copy
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