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1902168214
TAMARA JILL BUCHWALTER
GRANITE CITY, IL
NPI
1902168214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
Mrs. TAMARA JILL BUCHWALTER CADC
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040-6805
Phone number: 618-877-4420
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Mailing Address
Mrs. TAMARA JILL BUCHWALTER CADC
40 ARROWLEAF ST
HIGHLAND, IL 62249-2889
Phone number:
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