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1174832968
LEAH MERCEDES MIZELL
BERWYN, IL
NPI
1174832968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149015256)
Enumeration Date
2010-09-28
Last Update Date
2016-03-30
Business Address
Mrs. LEAH MERCEDES MIZELL LCSW
6415 STANLEY AVE
BERWYN, IL 60402-3130
Phone number: 708-995-3698
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Mailing Address
Mrs. LEAH MERCEDES MIZELL LCSW
6415 STANLEY AVE
BERWYN, IL 60402-3130
Phone number: 708-995-3698
Copy
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