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1477322626
KIMBERLY LUCKETT
CHICAGO, IL
NPI
1477322626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 1780147127)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
KIMBERLY LUCKETT
10111 S VERNON AVE
CHICAGO, IL 60628-2235
Phone number: 773-220-9215
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Mailing Address
KIMBERLY LUCKETT
7715 S COTTAGE GROVE AVE UNIT 198884
CHICAGO, IL 60619-2082
Phone number: 773-220-9215
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