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1437935699
STACY A KISSAMIS
CHICAGO, IL
NPI
1437935699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.021599)
Enumeration Date
2023-09-05
Last Update Date
2023-09-07
Business Address
STACY A KISSAMIS LCSW
200 N. LASALLE STREET
CHICAGO, IL 60601
Phone number: 888-660-4425
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Mailing Address
STACY A KISSAMIS LCSW
605 ACADEMY CT
SCHAUMBURG, IL 60194-2501
Phone number: 630-432-7044
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