Tara Halicki

NPI #1912405127 in Frankfort, Illinois

Provider Information

NPI Number: 1912405127
Entity Type: Individual
Name: Tara Halicki
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jan 23, 2018
Last Updated: Jan 23, 2018

Practice Location

Address: 212 N LOCUST ST
City: Frankfort
State: Illinois
ZIP Code: 60423-1263
Phone: (708) 209-6911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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