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1417430216
TOMY KANNALA
DES PLAINES, IL
NPI
1417430216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149020548)
Enumeration Date
2018-09-08
Last Update Date
2018-09-08
Business Address
TOMY KANNALA LCSW
919 ARNOLD CT
DES PLAINES, IL 60016-5868
Phone number: 224-625-0632
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Mailing Address
TOMY KANNALA LCSW
919 ARNOLD CT
DES PLAINES, IL 60016-5868
Phone number: 224-625-0632
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