Andrea Tack
Andrea Tack is a Social Worker in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
3690 Laura LnRockford, IL 61114-8179
Phone: (815) 520-4145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 150.015410 (IL) |
|---|
Record details
| NPI number | 1447706296 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2016 |
| Last updated in NPPES | June 30, 2017 |
| Mailing address | 123456 Main Street, Rockford, IL 61114-8179 |
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