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Individual

TESLA TRAVELSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1200 LOCUST ST, ELDORADO, IL 62930-1723
(618) 252-9036
Mailing address
1200 LOCUST ST, ELDORADO, IL 62930-1723
(618) 252-9036

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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