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1174761506
DIANE MCCLAIN
CHICAGO, IL
NPI
1174761506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013411)
Enumeration Date
2009-01-22
Last Update Date
2009-01-22
Business Address
-- DIANE MCCLAIN LCSW
5801 N SHERIDAN RD 2E
CHICAGO, IL 60660-3800
Phone number: 773-878-1873
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Mailing Address
-- DIANE MCCLAIN LCSW
5801 N SHERIDAN RD 2E
CHICAGO, IL 60660-3800
Phone number: 773-878-1873
Copy
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