Individual
MS. TANYA T BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 W 127TH ST, APT. 4W, ALSIP, IL 60803-4010
(773) 319-8682
Mailing address
4125 W 127TH ST, APT. 4W, ALSIP, IL 60803-4010
(773) 319-8682
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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