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1184040032
ELLEN TANNENBAUM
CHICAGO, IL
NPI
1184040032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.012695)
Enumeration Date
2014-03-14
Last Update Date
2015-08-12
Business Address
-- ELLEN TANNENBAUM LCSW
2310 W ROOSEVELT RD
CHICAGO, IL 60608-1131
Phone number: 312-655-7991
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Mailing Address
-- ELLEN TANNENBAUM LCSW
2310 W ROOSEVELT RD
CHICAGO, IL 60608-1131
Phone number: 312-655-7991
Copy
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