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1346691946
AMANDA CREDEN FAIRGRIEVE
CHICAGO, IL
NPI
1346691946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.018589)
Enumeration Date
2016-06-24
Last Update Date
2024-01-22
Business Address
Ms. AMANDA CREDEN FAIRGRIEVE LCSW
1611 W HARRISON ST STE 106B
CHICAGO, IL 60612-4861
Phone number: 312-563-0830
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Mailing Address
Ms. AMANDA CREDEN FAIRGRIEVE LCSW
1611 W HARRISON ST STE 106B
CHICAGO, IL 60612-4861
Phone number: 312-563-0830
Copy
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