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1003274135
EBONY WARE
CHICAGO, IL
NPI
1003274135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.009979)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- EBONY WARE LCPC
3031 N NATCHEZ AVE
CHICAGO, IL 60634-4955
Phone number: 317-590-7861
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Mailing Address
-- EBONY WARE LCPC
3031 N NATCHEZ AVE
CHICAGO, IL 60634-4955
Phone number: 317-590-7861
Copy
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