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1265909600
STEPHEN GILLENWATER
CHICAGO, IL
NPI
1265909600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149020356)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
Mr. STEPHEN GILLENWATER LCSW
1645 W JACKSON BLVD STE 315A
CHICAGO, IL 60612-3227
Phone number: 312-942-2777
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Mailing Address
Mr. STEPHEN GILLENWATER LCSW
1036 N AUSTIN BLVD
OAK PARK, IL 60302-1714
Phone number: 708-466-4870
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