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1811238074
TAMARA CHILDRESS
BLOOMINGTON, IL
NPI
1811238074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015768)
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
-- TAMARA CHILDRESS
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-827-6026
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Mailing Address
-- TAMARA CHILDRESS
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number:
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