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Andrea Tack
NPI 1447706296 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3690 Laura Ln
Rockford, IL 61114 - Phone
- (815) 520-4145
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois