Tamara Childress
NPI #1811238074 in Bloomington, Illinois
Provider Information
- NPI Number
- 1811238074
- Entity Type
- Individual
- Name
- Tamara Childress
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 12, 2013
- Last Updated
- Mar 12, 2013
Practice Location
- Address
- 1003 MARTIN LUTHER KING DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-1429
- Phone
- (309) 827-6026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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