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1063174951
RUTH SHANIKA NATHANIEL
CHICAGO, IL
NPI
1063174951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.015866)
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
RUTH SHANIKA NATHANIEL
53 W JACKSON BLVD STE 1201
CHICAGO, IL 60604-4192
Phone number: 312-772-9796
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Mailing Address
RUTH SHANIKA NATHANIEL
13139 PENNSYLVANIA CIR
THORNTON, CO 80241-1726
Phone number: 773-328-9810
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