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1114576113
GWENDOLYN MAXWELL
CHICAGO, IL
NPI
1114576113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 16255)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
GWENDOLYN MAXWELL CADC
140 N ASHLAND AVE
CHICAGO, IL 60607-1802
Phone number: 312-850-0050
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Mailing Address
GWENDOLYN MAXWELL CADC
140 N ASHLAND AVE
CHICAGO, IL 60607-1802
Phone number: 312-850-0050
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