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1063078947
CHAUNTE WILDER
EVERGREEN PARK, IL
NPI
1063078947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178014767)
Enumeration Date
2019-05-15
Last Update Date
2019-06-11
Business Address
Ms. CHAUNTE WILDER
3317 W 95TH ST
EVERGREEN PARK, IL 60805-2243
Phone number: 708-529-3011
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Mailing Address
Ms. CHAUNTE WILDER
1133 W 95TH ST
CHICAGO, IL 60643-1405
Phone number: 773-779-5432
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