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1164150959
JELISA D POWELL
CHICAGO, IL
NPI
1164150959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
Ms. JELISA D POWELL
5349 N WINTHROP AVE # 2
CHICAGO, IL 60640-2309
Phone number: 312-298-9402
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Mailing Address
Ms. JELISA D POWELL
1425 N LOREL AVE
CHICAGO, IL 60651-1351
Phone number:
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