Individual
SAMANTHA MIRIAM TANKENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
30 N MICHIGAN AVE STE 1105, CHICAGO, IL 60602-3747
(312) 241-1840
Mailing address
11518 CEDAR PASS, MINNETONKA, MN 55305-2969
(952) 738-2575
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001851
IL
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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