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1396192621
LAURA TINKER
EDWARDSVILLE, IL
NPI
1396192621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.012776)
Enumeration Date
2016-05-17
Last Update Date
2016-05-17
Business Address
-- LAURA TINKER
40B EDWARDSVILLE PROF PARK
EDWARDSVILLE, IL 62025-3602
Phone number: 618-248-2040
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Mailing Address
-- LAURA TINKER
PO BOX 101
EDWARDSVILLE, IL 62025-0101
Phone number: 618-248-2040
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