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Organization
TAPAS YOGA SHALA
Active
Organization
TAPAS YOGA SHALA
Active
Other names
tapas Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN HARRIS LCSW, LISW (PRESIDENT)
(309) 236-9553
Entity
Organization
Contact information
Practice address
100 19TH ST STE 102, ROCK ISLAND, IL 61201-8022
(309) 236-9553
Mailing address
100 19TH ST STE 102, ROCK ISLAND, IL 61201-8022
(309) 236-9553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008410
IA
1041C0700X
Clinical Social Worker
Primary
149.019633
IL
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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