TYLER GOODWINE

NILES, IL
NPI1992148548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149015767)
Enumeration Date2013-04-14
Last Update Date2013-04-14
Business Address
-- TYLER GOODWINE LCSW
7646 N WAUKEGAN RD
NILES, IL 60714-3242
Phone number: 773-294-6403
Mailing Address
-- TYLER GOODWINE LCSW
7646 N WAUKEGAN RD
NILES, IL 60714-3242
Phone number:
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