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Organization
TARA WINKLER LCPC LLC
Active
Organization
TARA WINKLER LCPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA WINKLER LCPC (OWNER)
(217) 203-1573
Entity
Organization
Contact information
Practice address
2151 W WHITE OAKS DR STE D, SPRINGFIELD, IL 62704-6410
(217) 203-1573
Mailing address
2151 W WHITE OAKS DR STE D, SPRINGFIELD, IL 62704-6410
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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