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Individual

EMILY ANNE TINLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
332 S MICHIGAN AVE, CHICAGO, IL 60604-4434
(888) 660-4425
Mailing address
5532 S SHORE DR APT 6E, CHICAGO, IL 60637-1922
(888) 660-4425

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011961
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149.011961
IL
Enumeration date
07/21/2019
Last updated
07/21/2019
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