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1154042679
BERTHA DAVIS
OAK PARK, IL
NPI
1154042679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149024731)
Enumeration Date
2022-09-05
Last Update Date
2022-09-05
Business Address
BERTHA DAVIS LCSW
1010 LAKE ST
OAK PARK, IL 60301-1147
Phone number: 708-970-7512
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Mailing Address
BERTHA DAVIS LCSW
4926 W RICE ST
CHICAGO, IL 60651-3151
Phone number: 773-494-4553
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