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1093175762
ELIZABETH HEIDEMAN
CHICAGO, IL
NPI
1093175762
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Professional Name
ELIZABETH WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.018243)
Enumeration Date
2016-02-24
Last Update Date
2016-02-24
Business Address
-- ELIZABETH HEIDEMAN LCSW
2525 W PETERSON AVE
CHICAGO, IL 60659-4108
Phone number: 872-235-0880
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Mailing Address
-- ELIZABETH HEIDEMAN LCSW
1437 N SEDGWICK ST APT. 2W
CHICAGO, IL 60610-1269
Phone number:
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