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1235892068
SAMUEL SHOVERS
CHICAGO, IL
NPI
1235892068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150.105367)
Enumeration Date
2021-10-19
Last Update Date
2022-02-06
Business Address
SAMUEL SHOVERS LSW
2400 N ASHLAND AVE
CHICAGO, IL 60614-2021
Phone number: 773-904-2597
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Mailing Address
SAMUEL SHOVERS LSW
1552 W FULLERTON AVE # 100
CHICAGO, IL 60614-9018
Phone number:
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