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1437494127
JIMMY CHAN
CHICAGO, IL
NPI
1437494127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149012281)
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
-- JIMMY CHAN LCSW, LPHA
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-371-2925
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Mailing Address
-- JIMMY CHAN LCSW, LPHA
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number:
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