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Individual

ISAIAH TENNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
445 PARK AVE STE A&C, CARY, IL 60013-2752
(872) 362-3258
Mailing address
445 PARK AVE STE A&C, CARY, IL 60013-2752
(872) 362-3258

Taxonomy

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

Other

Enumeration date
02/07/2023
Last updated
11/11/2025
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