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1437796539
NICHOLE TACKETT
CHICAGO, IL
NPI
1437796539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149021269)
Enumeration Date
2019-12-08
Last Update Date
2021-02-26
Business Address
NICHOLE TACKETT LCSW
6373 N PAULINA ST # B
CHICAGO, IL 60660-1645
Phone number: 309-634-5468
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Mailing Address
NICHOLE TACKETT LCSW
6373 N PAULINA ST # B
CHICAGO, IL 60660-1645
Phone number:
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