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Organization

BETTER FUTURE FOR FAMILIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TANYA MARIE ROGERS DSW, LCSW (PRESIDENT & CEO)
(708) 651-1987
Entity
Organization

Contact information

Practice address
15714 MARSHFIELD AVE, HARVEY, IL 60426-4216
(708) 651-1987
(708) 339-4998
Mailing address
15714 MARSHFIELD AVE, HARVEY, IL 60426-4216
(708) 651-1987
(708) 339-4998

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011346
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
331622717001
IL
Enumeration date
12/05/2015
Last updated
12/07/2015
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