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1053602086
DEANDREA DENISE FEDRICK
CHICAGO, IL
NPI
1053602086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
252Y00000X Early Intervention Provider Agency
Enumeration Date
2011-04-25
Last Update Date
2011-04-25
Business Address
Ms. DEANDREA DENISE FEDRICK TVI
11400 S ADA ST
CHICAGO, IL 60643-4428
Phone number: 773-954-4997
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Mailing Address
Ms. DEANDREA DENISE FEDRICK TVI
11400 S ADA ST
CHICAGO, IL 60643-4428
Phone number: 773-954-4997
Copy
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