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1336532001
TABITHA BERG
CHAMPAIGN, IL
NPI
1336532001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-03-05
Last Update Date
2015-03-05
Business Address
-- TABITHA BERG
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 217-373-2430
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Mailing Address
-- TABITHA BERG
105 KARADAN DR
MAHOMET, IL 61853-3641
Phone number:
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