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1134892490
DAX J JEMISON
CHICAGO, IL
NPI
1134892490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.021741)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
DAX J JEMISON LCSW
6639 S WABASH AVE UNIT 1
CHICAGO, IL 60637-3034
Phone number: 773-383-4067
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Mailing Address
DAX J JEMISON LCSW
6639 S WABASH AVE UNIT 1
CHICAGO, IL 60637-3034
Phone number: 773-383-4067
Copy
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