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1053710509
SAMANTHA MAE FENNO
CHICAGO, IL
NPI
1053710509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149016820)
Enumeration Date
2014-08-21
Last Update Date
2019-09-02
Business Address
Prof. SAMANTHA MAE FENNO LCSW
25 E WASHINGTON ST STE 1717
CHICAGO, IL 60602-1839
Phone number: 410-493-6028
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Mailing Address
Prof. SAMANTHA MAE FENNO LCSW
25 E WASHINGTON ST STE 1717
CHICAGO, IL 60602-1839
Phone number: 410-493-6028
Copy
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