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Individual
THOMAS GARRY
Active
Individual
THOMAS GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12881
ILLINOIS CERTIFICATION BOARD INC.
IL
Enumeration date
03/25/2016
Last updated
03/25/2016
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