TERA MARIE MIATKE

BLOOMINGTON, IL
NPI1669641361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2008-02-27
Last Update Date2008-03-14
Business Address
TERA MARIE MIATKE
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
TERA MARIE MIATKE
3230 TURQUOIS WAY
NORMAL, IL 61761-9390
Phone number: 309-827-5020