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1033724232
SHADEQUIA DAVIS
JOLIET, IL
NPI
1033724232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IL 2489765)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
SHADEQUIA DAVIS MS, NCSP
402 RICHARDS ST
JOLIET, IL 60433-2218
Phone number: 815-727-5271
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Mailing Address
SHADEQUIA DAVIS MS, NCSP
1440 S MICHIGAN AVE APT 312
CHICAGO, IL 60605-2956
Phone number:
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