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1073176418
JACQUELYN GEORGEN
CHICAGO, IL
NPI
1073176418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149019956)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
JACQUELYN GEORGEN LCSW
1136 S DELANO CT W STE B201
CHICAGO, IL 60605-3734
Phone number: 773-377-5577
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Mailing Address
JACQUELYN GEORGEN LCSW
5 E 14TH PL APT 1202
CHICAGO, IL 60605-2929
Phone number: 845-527-3462
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