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1083367833
MAURICE JEROME HAILE
CHICAGO, IL
NPI
1083367833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
MAURICE JEROME HAILE CADC
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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Mailing Address
MAURICE JEROME HAILE CADC
9529 S INDIANA AVE
CHICAGO, IL 60628-1409
Phone number: 708-785-0737
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