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1124400817
JACQUELINE POWELL
CHICAGO, IL
NPI
1124400817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 129.008441)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
-- JACQUELINE POWELL
312 W 27TH ST APT 1
CHICAGO, IL 60616-2612
Phone number: 639-254-1849
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Mailing Address
-- JACQUELINE POWELL
312 W 27TH ST APT 1
CHICAGO, IL 60616-2612
Phone number: 639-254-1849
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