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1063761070
MARY KATHERINE BOHANNON
CHICAGO, IL
NPI
1063761070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017345)
Enumeration Date
2012-09-05
Last Update Date
2023-09-15
Business Address
MARY KATHERINE BOHANNON LCSW
1842 N SPAULDING AVE APT 3
CHICAGO, IL 60647-0174
Phone number: 773-826-9927
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Mailing Address
MARY KATHERINE BOHANNON LCSW
1842 N SPAULDING AVE APT 3
CHICAGO, IL 60647-0174
Phone number: 773-826-9927
Copy
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