Individual
MRS. TANIA MARIE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
25224 W EAMES ST, CHANNAHON, IL 60410-5215
(815) 791-1360
Mailing address
25224 W EAMES ST, CHANNAHON, IL 60410-5215
(815) 467-8181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150110106
IL
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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