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1003364035
SAMANTHA BERTA
CHICAGO, IL
NPI
1003364035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018461)
Enumeration Date
2016-09-20
Last Update Date
2016-09-20
Business Address
-- SAMANTHA BERTA
3706 W CULLOM AVE #2
CHICAGO, IL 60618-2005
Phone number: 815-955-5229
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Mailing Address
-- SAMANTHA BERTA
3706 W CULLOM AVE #2
CHICAGO, IL 60618-2005
Phone number: 815-955-5229
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