THOMAS SOUTHERLAND

CHICAGO, IL
NPI1447752324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149017033)
Enumeration Date2018-03-06
Last Update Date2019-09-05
Business Address
THOMAS SOUTHERLAND
1901 W HARRISON ST
CHICAGO, IL 60612
Phone number: 312-864-2000
Mailing Address
THOMAS SOUTHERLAND
1625 W MORSE AVE APT 3
CHICAGO, IL 60626-5959
Phone number: 773-620-2343
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