TAMARA ALICE VODNANSKY

ROCKFORD, IL
NPI1336647171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149017238)
Enumeration Date2018-01-26
Last Update Date2018-01-26
Business Address
TAMARA ALICE VODNANSKY LCSW
4920 E STATE ST
ROCKFORD, IL 61108-2272
Phone number: 815-227-9002
Mailing Address
TAMARA ALICE VODNANSKY LCSW
4920 E STATE ST
ROCKFORD, IL 61108-2272
Phone number: