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1215253307
PHYLLIS DARCEL GRANT
CHICAGO, IL
NPI
1215253307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149013906)
Enumeration Date
2010-04-14
Last Update Date
2013-05-16
Business Address
Mrs. PHYLLIS DARCEL GRANT LCSW
2011 EAST 75TH ST
CHICAGO, IL 60649-2302
Phone number: 773-643-0500
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Mailing Address
Mrs. PHYLLIS DARCEL GRANT LCSW
2011 E 75TH ST SUITE 103
CHICAGO, IL 60649-3607
Phone number: 773-643-0500
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