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Individual
THOMAS DWORAK
Active
Individual
THOMAS DWORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT SAC-IT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178018223
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
16745-130
WI
Other
Enumeration date
03/20/2015
Last updated
09/09/2026
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