SHIRAZ P TATA

ROCKFORD, IL
NPI1336298504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: IL  071-004963)
Enumeration Date2007-01-09
Last Update Date2018-06-18
Business Address
SHIRAZ P TATA PH.D.
6072 BRYNWOOD DR STE 107
ROCKFORD, IL 61114
Phone number: 815-519-2949
Mailing Address
SHIRAZ P TATA PH.D.
6072 BRYNWOOD DR STE 107
ROCKFORD, IL 61114-5829
Phone number: 815-519-2949
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