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1205397213
PHYLLIS CHONG
CHICAGO, IL
NPI
1205397213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149010295)
Enumeration Date
2019-03-31
Last Update Date
2019-03-31
Business Address
PHYLLIS CHONG
689 N PEORIA ST APT 1S
CHICAGO, IL 60642-5925
Phone number: 312-545-5195
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Mailing Address
PHYLLIS CHONG
689 N PEORIA ST APT 1S
CHICAGO, IL 60642-5925
Phone number: 312-545-5195
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