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1598068843
TANYA MARIE BLACKSHEAR
CHAMPAIGN, IL
NPI
1598068843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016668)
Enumeration Date
2010-12-08
Last Update Date
2014-07-14
Business Address
Mrs. TANYA MARIE BLACKSHEAR LCSW, Life Coach
3347 STONEWAY CT
CHAMPAIGN, IL 61822-2404
Phone number: 217-721-3062
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Mailing Address
Mrs. TANYA MARIE BLACKSHEAR LCSW, Life Coach
3347 STONEWAY CT
CHAMPAIGN, IL 61822-2404
Phone number: 217-721-3062
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