Individual
TATIANNA MARIE MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(847) 451-0330
Mailing address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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