Individual
TAMARAH CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 LINCOLN PL, CALUMET CITY, IL 60409-6229
(708) 271-7650
Mailing address
1508 LINCOLN PL, CALUMET CITY, IL 60409-6229
(708) 271-7650
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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