Tamara Randrianasolo
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1508300047
StatusActive
Last updated in NPPESMay 10, 2022
Details
- NPI
- 1508300047
- Entity type
- Individual (NPI-1)
- Name
- Tamara Randrianasolo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2016
- Certification date
- May 10, 2022
- Last updated
- May 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | CW021901 | PA |
Practice location
6417 W Irving Park RdChicago, IL 60634-2437
Phone 773-777-7112
Mailing address
1200 W College AveState College, PA 16801-2824
Phone 814-325-0280
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