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1033313341
MYRA D STAPLES
SOUTH HOLLAND, IL
NPI
1033313341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149010871)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- MYRA D STAPLES LCSW
430 EAST 167TH STREET
SOUTH HOLLAND, IL 60473
Phone number: 708-385-4258
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Mailing Address
-- MYRA D STAPLES LCSW
430 EAST 167TH STREET
SOUTH HOLLAND, IL 60473
Phone number: 708-385-4258
Copy
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