Individual
MRS. TAMARAKA KING-AUDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
16110 WOODLAWN EAST AVE, SOUTH HOLLAND, IL 60473-1852
(708) 288-4638
Mailing address
16110 WOODLAWN EAST AVE, SOUTH HOLLAND, IL 60473-1852
(708) 288-4638
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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