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1124574652
MELISSA GUSTAFSON
CHICAGO, IL
NPI
1124574652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 1932318920)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- MELISSA GUSTAFSON LSW
5517 N KENMORE AVE
CHICAGO, IL 60640-1515
Phone number: 773-275-7962
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Mailing Address
-- MELISSA GUSTAFSON LSW
5517 N KENMORE AVE
CHICAGO, IL 60640-1515
Phone number: 773-275-7962
Copy
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