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1316233794
ROSS JACOB
CHICAGO, IL
NPI
1316233794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-011193)
Enumeration Date
2011-06-23
Last Update Date
2011-06-23
Business Address
-- ROSS JACOB LCSW
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613-2193
Phone number: 773-572-5500
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Mailing Address
-- ROSS JACOB LCSW
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613-2193
Phone number:
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