IDA J SAMUEL-CLAY

CHICAGO, IL
NPI1144785825
Former NameIDA J SAMUEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180011416)
Enumeration Date2019-02-06
Last Update Date2025-04-01
Business Address
IDA J SAMUEL-CLAY LCPC
8342 S PAXTON AVE
CHICAGO, IL 60617-1852
Phone number: 312-521-0796
Mailing Address
IDA J SAMUEL-CLAY LCPC
8342 S PAXTON AVE
CHICAGO, IL 60617-1852
Phone number: 312-521-0796
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