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Individual

MRS. TAMARA E GUILLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
107 14TH ST NE, WASHINGTON, DC 20002-6403
(513) 373-2843
Mailing address
107 14TH ST NE, WASHINGTON, DC 20002-6403
(513) 373-2843

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.1000367
OH
1041C0700X
Clinical Social Worker
Primary
LC50079052
DC

Other

Enumeration date
03/12/2010
Last updated
04/06/2021
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