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1285397919
LASHAWN M ETHERIDGE
CHICAGO, IL
NPI
1285397919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149019084)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
LASHAWN M ETHERIDGE
7045 S CONSTANCE AVE APT 2B
CHICAGO, IL 60649-2021
Phone number: 313-658-3799
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Mailing Address
LASHAWN M ETHERIDGE
7045 S CONSTANCE AVE APT 2B
CHICAGO, IL 60649-2021
Phone number: 313-658-3799
Copy
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