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1184191181
JENNIFER DIETLIN BIANK
CHICAGO, IL
NPI
1184191181
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Former Name
JENNIFER KATHLEEN DIETLIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.008929)
Enumeration Date
2018-10-28
Last Update Date
2018-10-28
Business Address
JENNIFER DIETLIN BIANK LCSW
1300 W BELMONT AVE STE 407
CHICAGO, IL 60657-3242
Phone number: 262-893-0481
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Mailing Address
JENNIFER DIETLIN BIANK LCSW
2141 DEWES ST
GLENVIEW, IL 60025-4152
Phone number: 262-893-0481
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