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1942451570
TIARA LANEA SMITH
CHAMPAIGN, IL
NPI
1942451570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-10-01
Last Update Date
2008-10-01
Business Address
-- TIARA LANEA SMITH BS
401 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820-4716
Phone number: 217-398-8464
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Mailing Address
-- TIARA LANEA SMITH BS
2008 VAWTER ST APT 307
URBANA, IL 61801-6438
Phone number: 217-344-0554
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