JEREMY BROOK HISAW

CHICAGO, IL
NPI1083701429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.011629)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Mr. JEREMY BROOK HISAW LCSW
1 E SUPERIOR ST SUITE #310
CHICAGO, IL 60611-2507
Phone number: 773-403-0473
Mailing Address
Mr. JEREMY BROOK HISAW LCSW
1733 W CRYSTAL ST UNIT B
CHICAGO, IL 60622-8801
Phone number: 773-403-0473
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