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1154378081
ELIZABETH ANN DOUGLAS
HINES, IL
NPI
1154378081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149003426)
Enumeration Date
2006-05-27
Last Update Date
2007-07-08
Business Address
Ms. ELIZABETH ANN DOUGLAS MSW
ROOSEVELT &5TH AVE.
HINES, IL 60141
Phone number: 708-202-3639
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Mailing Address
Ms. ELIZABETH ANN DOUGLAS MSW
6648 N NEWGARD AVE #2
CHICAGO, IL 60626-4712
Phone number: 773-381-2350
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