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Organization
TARA INCOPERO PC
Active
Organization
TARA INCOPERO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA INCOPERO LCSW (PRESIDENT)
(630) 849-7042
Entity
Organization
Contact information
Practice address
381 N YORK ST, SUITE 18, ELMHURST, IL 60126-2342
(630) 796-4367
Mailing address
381 N YORK ST, SUITE 18, ELMHURST, IL 60126-2342
(630) 796-4367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018682
IL
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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