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1366903601
EWELINA BASISTY
CHICAGO, IL
NPI
1366903601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
EWELINA BASISTY MSW
1127 N OAKLEY BLVD FL 3
CHICAGO, IL 60622-3507
Phone number: 312-770-2592
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Mailing Address
EWELINA BASISTY MSW
1127 N OAKLEY BLVD FL 3
CHICAGO, IL 60622-3507
Phone number:
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