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Individual

MRS. JAMIE TUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
215 HARRISON ST, OAK PARK, IL 60304-1533
(872) 701-0062
Mailing address
215 HARRISON ST, OAK PARK, IL 60304-1533

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149.029364
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
150.111952
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
04/21/2023
Last updated
06/19/2025
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