TERA MARIE MIATKE

BLOOMINGTON, IL
NPI1669641361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149012937)
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
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