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1477978096
CHARLO JORDAN
CHICAGO, IL
NPI
1477978096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149014413)
Enumeration Date
2014-02-19
Last Update Date
2016-04-29
Business Address
-- CHARLO JORDAN
8008 S RIDGELAND AVE # 2B
CHICAGO, IL 60617-1008
Phone number: 773-510-2812
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Mailing Address
-- CHARLO JORDAN
8008 S RIDGELAND AVE # 2B
CHICAGO, IL 60617-1008
Phone number: 773-510-2812
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