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1215705082
JESSICA R LOPEZ
CHICAGO, IL
NPI
1215705082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.026216)
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
JESSICA R LOPEZ LCSW
325 S PAULINA ST
CHICAGO, IL 60612-3206
Phone number: 312-563-1535
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Mailing Address
JESSICA R LOPEZ LCSW
325 S PAULINA ST
CHICAGO, IL 60612-3206
Phone number: 312-563-1535
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