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1245747542
THERESA PENDERGRAFF
CHICAGO, IL
NPI
1245747542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018482)
Enumeration Date
2018-01-08
Last Update Date
2022-12-27
Business Address
THERESA PENDERGRAFF
4150 N KILBOURN AVE
CHICAGO, IL 60641-1913
Phone number: 312-342-8155
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Mailing Address
THERESA PENDERGRAFF
4150 N KILBOURN AVE
CHICAGO, IL 60641-1913
Phone number: 312-342-8155
Copy
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