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1235971029
SAMANTHA ANNE LOCKENOUR
CHICAGO, IL
NPI
1235971029
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Former Name
SAMANTHA WELSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
SAMANTHA ANNE LOCKENOUR
1200 W 35TH ST
CHICAGO, IL 60609-1305
Phone number: 312-548-9051
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Mailing Address
SAMANTHA ANNE LOCKENOUR
3636 S WINCHESTER AVE FL 2
CHICAGO, IL 60609-1232
Phone number: 309-202-6684
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