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Organization
TARA THOMASON, LCSW LLC
Active
Organization
TARA THOMASON, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA ANN THOMASON JD, LCSW (PSYCHOTHERAPIST)
(773) 771-4877
Entity
Organization
Contact information
Practice address
564 W RANDOLPH ST, SUITE 200, CHICAGO, IL 60661-2218
(773) 771-4877
Mailing address
564 W RANDOLPH ST, SUITE 200, CHICAGO, IL 60661-2218
(773) 771-4877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015738
IL
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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