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1013558196
JANET MARIE VIDALES
SCHAUMBURG, IL
NPI
1013558196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.021622)
Enumeration Date
2019-09-30
Last Update Date
2022-11-10
Business Address
JANET MARIE VIDALES LCSW
1310 CAMBIA DR APT 6209
SCHAUMBURG, IL 60193-4610
Phone number: 773-800-0063
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Mailing Address
JANET MARIE VIDALES LCSW
1440 W TAYLOR ST # 2807
CHICAGO, IL 60607-4623
Phone number: 773-800-0063
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