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1447020540
KYAH HAWK
CHICAGO, IL
NPI
1447020540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150.112486)
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
KYAH HAWK LSW, MSW
4711 N BROADWAY ST STE 120
CHICAGO, IL 60640-4908
Phone number: 773-234-3212
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Mailing Address
KYAH HAWK LSW, MSW
1402 W NORTH SHORE AVE APT 2
CHICAGO, IL 60626-6828
Phone number: 724-712-4268
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