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1215553557
COKETHA SAMYRA JEAN HENDRICKS
CHICAGO, IL
NPI
1215553557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149019293)
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
COKETHA SAMYRA JEAN HENDRICKS LCSW
641 W 63RD ST
CHICAGO, IL 60621-2032
Phone number: 312-413-3282
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Mailing Address
COKETHA SAMYRA JEAN HENDRICKS LCSW
2237 BURR OAK AVE
NORTH RIVERSIDE, IL 60546-1317
Phone number: 312-413-3282
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