TISHA ANDERSON

DEKALB, IL
NPI1972969814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YS0200X Counselor, School
(Licence: IL  2488174)
104100000X Social Worker
Enumeration Date2016-01-07
Last Update Date2016-01-07
Business Address
-- TISHA ANDERSON
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
-- TISHA ANDERSON
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875