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1225434236
JOANNA VERGOTH
CHICAGO, IL
NPI
1225434236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.008568)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
-- JOANNA VERGOTH LCSW
4753 N BROADWAY ST SUITE 509
CHICAGO, IL 60640-5266
Phone number: 917-796-8213
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Mailing Address
-- JOANNA VERGOTH LCSW
3150 N LAKE SHORE DR APT 18F
CHICAGO, IL 60657-4810
Phone number: 917-796-8213
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