Wilson, Tashae

Wilson, Tashae is an individual health care provider with primary practice located at 450 W 14Th St , Chicago Heights IL 60411. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wilson, Tashae can be contacted via phone (708) 444-1012.

Contact Information

Primary practice address
450 W 14Th St Chicago Heights IL 60411
Phone: (708) 444-1012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1528449261
LBN Legal business name Wilson, Tashae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated Jul 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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