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1023689015
GABRIEL JARA-ALMONTE EDWARDS
PARK RIDGE, IL
NPI
1023689015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.022221)
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
GABRIEL JARA-ALMONTE EDWARDS LCSW
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068-1471
Phone number: 847-759-9110
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Mailing Address
GABRIEL JARA-ALMONTE EDWARDS LCSW
2060 W BIRCHWOOD AVE APT 3
CHICAGO, IL 60645-2172
Phone number: 312-884-9746
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