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1053406124
BENITA VIVIAN LACKAJS
CHICAGO, IL
NPI
1053406124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.005101)
Enumeration Date
2006-10-04
Last Update Date
2008-04-04
Business Address
Mrs. BENITA VIVIAN LACKAJS MSW, LCSW
3249 N CENTRAL AVE
CHICAGO, IL 60634-4360
Phone number: 773-371-3700
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Mailing Address
Mrs. BENITA VIVIAN LACKAJS MSW, LCSW
3249 N CENTRAL AVE
CHICAGO, IL 60634-4360
Phone number: 773-371-3700
Copy
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