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1215089461
TAMMARA PETRILL THOMAS
OAK LAWN, IL
NPI
1215089461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Ms. TAMMARA PETRILL THOMAS MS, CADC
4700 W 95TH ST SUITE LL5
OAK LAWN, IL 60453-2533
Phone number: 708-499-6286
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Mailing Address
Ms. TAMMARA PETRILL THOMAS MS, CADC
2340 W 111TH ST # 1
CHICAGO, IL 60643-3924
Phone number: 773-426-2317
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