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1033668512
LYLA WAKUT
CHICAGO, IL
NPI
1033668512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149022544)
Enumeration Date
2016-09-26
Last Update Date
2024-05-21
Business Address
LYLA WAKUT
3913 W 57TH PL
CHICAGO, IL 60629-4422
Phone number: 312-857-4017
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Mailing Address
LYLA WAKUT
661 W LAKE ST STE 2S
CHICAGO, IL 60661-1034
Phone number: 312-857-4017
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