TANGENISE SHARANE PORTER

OAK FOREST, IL
NPI1912244153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.007552)
Enumeration Date2013-01-08
Last Update Date2013-01-08
Business Address
Ms. TANGENISE SHARANE PORTER LPC
15900 S CICERO BUILDING B12 OAK FOREST HOSPITAL
OAK FOREST, IL 60452
Phone number: 708-633-2581
Mailing Address
Ms. TANGENISE SHARANE PORTER LPC
6449 S GREENWOOD UNIT 1
CHICAGO, IL 60637
Phone number: 773-934-8359
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