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1336892017
TANISHA NICOLE THOMAS
OAK PARK, IL
NPI
1336892017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.106456)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
TANISHA NICOLE THOMAS
1150 HIGHLAND AVE
OAK PARK, IL 60304-2243
Phone number: 786-239-5280
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Mailing Address
TANISHA NICOLE THOMAS
22331 PICCADILLY CT
RICHTON PARK, IL 60471-2027
Phone number:
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