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1033654181
VICTORIA BLAYLOCK
CHICAGO, IL
NPI
1033654181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.018941)
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
-- VICTORIA BLAYLOCK MSW, LCSW
4835 N KENMORE AVE APT B
CHICAGO, IL 60640-3727
Phone number: 773-993-2770
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Mailing Address
-- VICTORIA BLAYLOCK MSW, LCSW
4835 N KENMORE AVE APT B
CHICAGO, IL 60640-3727
Phone number:
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