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1356024707
EMILY GRACE ELLSWORTH
CHICAGO, IL
NPI
1356024707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149.025332)
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
EMILY GRACE ELLSWORTH LCSW
1400 W GREENLEAF AVE
CHICAGO, IL 60626-2805
Phone number: 312-806-9627
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Mailing Address
EMILY GRACE ELLSWORTH LCSW
2236 W LOGAN BLVD APT 2
CHICAGO, IL 60647-2115
Phone number: 928-242-4367
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