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1467905679
URSULA WAGNER
CHICAGO, IL
NPI
1467905679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016295)
Enumeration Date
2016-07-25
Last Update Date
2016-07-25
Business Address
Ms. URSULA WAGNER LCSW
1015 W LAWRENCE AVE
CHICAGO, IL 60640-5017
Phone number: 312-350-3257
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Mailing Address
Ms. URSULA WAGNER LCSW
1524 E 59TH ST APT. A0
CHICAGO, IL 60637-2009
Phone number: 217-649-9376
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