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1316405814
JEFFREY SAMUELS
CHICAGO, IL
NPI
1316405814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149023499)
Enumeration Date
2019-03-04
Last Update Date
2022-02-14
Business Address
JEFFREY SAMUELS
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657-7187
Phone number: 312-900-8642
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Mailing Address
JEFFREY SAMUELS
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657-7187
Phone number: 312-900-8642
Copy
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