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1255606695
ROSE MARIE WYATT
CHICAGO, IL
NPI
1255606695
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Former Name
ROSE MARIE KENNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149000239)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
Mrs. ROSE MARIE WYATT LCSW
5201 S CORNELL AVE APT 8C
CHICAGO, IL 60615-4202
Phone number: 773-852-7420
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Mailing Address
Mrs. ROSE MARIE WYATT LCSW
5201 S CORNELL AVE APT 8C
CHICAGO, IL 60615-4202
Phone number: 773-852-7420
Copy
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