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1184265597
BONITA RICHARDSON
CHICAGO, IL
NPI
1184265597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.020950)
Enumeration Date
2019-10-07
Last Update Date
2020-01-09
Business Address
Ms. BONITA RICHARDSON LCSW
1300 W DEVON AVE
CHICAGO, IL 60660-1302
Phone number: 773-751-7850
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Mailing Address
Ms. BONITA RICHARDSON LCSW
1300 W DEVON AVE
CHICAGO, IL 60660-1302
Phone number: 773-751-7850
Copy
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