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1467761031
MARISA MICHELLE BERWALD
CHICAGO, IL
NPI
1467761031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016897)
Enumeration Date
2010-09-30
Last Update Date
2014-08-22
Business Address
-- MARISA MICHELLE BERWALD BA
3223 S LITUANICA AVE APT 3R 3R
CHICAGO, IL 60608-6670
Phone number: 631-766-1277
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Mailing Address
-- MARISA MICHELLE BERWALD BA
3223 S LITUANICA AVE APT 3R
CHICAGO, IL 60608-6670
Phone number: 631-766-1277
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