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1770170250
TAYSHIA SMALL
CHICAGO, IL
NPI
1770170250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.015725)
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
TAYSHIA SMALL
1448 N MILWAUKEE AVE STE 201
CHICAGO, IL 60622-9225
Phone number: 312-476-9064
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Mailing Address
TAYSHIA SMALL
PO BOX 752123
HOUSTON, TX 77275-2123
Phone number: 312-476-9064
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