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1104560325
TAKIYAH A CHILDRESS
WHEATON, IL
NPI
1104560325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
TAKIYAH A CHILDRESS
115 N COUNTY FARM RD
WHEATON, IL 60187-3977
Phone number: 630-627-1700
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Mailing Address
TAKIYAH A CHILDRESS
111 N COUNTY FARM RD
WHEATON, IL 60187-3977
Phone number:
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