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1336647171
TAMARA ALICE VODNANSKY
ROCKFORD, IL
NPI
1336647171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149017238)
Enumeration Date
2018-01-26
Last Update Date
2018-01-26
Business Address
TAMARA ALICE VODNANSKY LCSW
4920 E STATE ST
ROCKFORD, IL 61108-2272
Phone number: 815-227-9002
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Mailing Address
TAMARA ALICE VODNANSKY LCSW
4920 E STATE ST
ROCKFORD, IL 61108-2272
Phone number:
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