Individual
TAMMIE TERAE TATUM BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6006 159TH ST BLDG C, OAK FOREST, IL 60452-2904
(708) 535-7320
(708) 535-7571
Mailing address
6006 159TH ST BLDG C, OAK FOREST, IL 60452-2904
(708) 535-7320
(708) 535-7571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
07/14/2024
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