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1649684606
TIA POGGENSEE
CRYSTAL LAKE, IL
NPI
1649684606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 145.015848)
Enumeration Date
2014-06-18
Last Update Date
2014-06-18
Business Address
-- TIA POGGENSEE LCSW
6703 HUNTLEY RD
CRYSTAL LAKE, IL 60014-5363
Phone number: 815-341-8814
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Mailing Address
-- TIA POGGENSEE LCSW
6703 HUNTLEY RD
CRYSTAL LAKE, IL 60014-5363
Phone number: 815-341-8814
Copy
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