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1245951748
MICHELLE FANNING
PARK RIDGE, IL
NPI
1245951748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149.024705)
Enumeration Date
2022-09-05
Last Update Date
2022-09-05
Business Address
MICHELLE FANNING LCSW
444 N NORTHWEST HWY STE 201
PARK RIDGE, IL 60068-3271
Phone number: 773-899-0887
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Mailing Address
MICHELLE FANNING LCSW
444 N NORTHWEST HWY STE 201
PARK RIDGE, IL 60068-3271
Phone number: 773-899-0887
Copy
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