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1215596887
VIVIANE NGWA
MATTESON, IL
NPI
1215596887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149007250)
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
VIVIANE NGWA MSW, LCSW
4747 LINCOLN MALL DR STE 101
MATTESON, IL 60443-3812
Phone number: 708-747-2655
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Mailing Address
VIVIANE NGWA MSW, LCSW
4747 LINCOLN MALL DR STE 101
MATTESON, IL 60443-3812
Phone number: 312-758-2157
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