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1174230130
SAM CLUBB
CHICAGO, IL
NPI
1174230130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 68633)
Enumeration Date
2022-10-31
Last Update Date
2023-02-15
Business Address
SAM CLUBB LCSW
1023 W IRVING PARK RD
CHICAGO, IL 60613-2913
Phone number: 832-623-9257
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Mailing Address
SAM CLUBB LCSW
1023 W IRVING PARK RD
CHICAGO, IL 60613-2913
Phone number:
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