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Individual

TAMIKA ST. CLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2936 W 97TH PL, EVERGREEN PK, IL 60805-2608
(312) 647-5712
Mailing address
2936 W 97TH PL, EVERGREEN PK, IL 60805-2608
(312) 647-5712

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
12/02/2016
Last updated
12/02/2016
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