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1316588718
EVAN RICHARD MIDDAUGH
CHICAGO, IL
NPI
1316588718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.021545)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
EVAN RICHARD MIDDAUGH
2711 N MILDRED AVE APT 2B
CHICAGO, IL 60614-2771
Phone number: 239-851-5661
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Mailing Address
EVAN RICHARD MIDDAUGH
2711 N MILDRED AVE APT 2B
CHICAGO, IL 60614-2771
Phone number: 239-851-5661
Copy
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