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1114137163
MOLLY OLDER
CHICAGO, IL
NPI
1114137163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149002111)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- MOLLY OLDER LCSW
1969 W OGDEN AVE ROOM 1698
CHICAGO, IL 60612-3765
Phone number: 312-864-2404
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Mailing Address
-- MOLLY OLDER LCSW
943 N WOLCOTT AVE
CHICAGO, IL 60622-4941
Phone number: 773-394-9638
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