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1275807158
AUGUSTUS C EDEH
CHICAGO, IL
NPI
1275807158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015078)
Enumeration Date
2012-02-24
Last Update Date
2024-02-12
Business Address
AUGUSTUS C EDEH LCSW
5658 S KOLIN AVE UNIT 2
CHICAGO, IL 60629-4839
Phone number: 773-412-7420
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Mailing Address
AUGUSTUS C EDEH LCSW
5658 S KOLIN AVE UNIT 2
CHICAGO, IL 60629-4839
Phone number: 773-412-7420
Copy
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