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1013547132
PATRICK GRANADA
CHICAGO, IL
NPI
1013547132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.012297)
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
Mr. PATRICK GRANADA LCSW
1859 W TAYLOR ST
CHICAGO, IL 60612-4319
Phone number: 312-996-9447
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Mailing Address
Mr. PATRICK GRANADA LCSW
1515 W POLK ST
CHICAGO, IL 60607-3120
Phone number:
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