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1497116941
TIJA WALTERS
CHICAGO, IL
NPI
1497116941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 32150)
Enumeration Date
2016-03-11
Last Update Date
2016-03-11
Business Address
-- TIJA WALTERS
5910 W DIVISION ST
CHICAGO, IL 60651-1031
Phone number: 773-777-7112
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Mailing Address
-- TIJA WALTERS
5910 W DIVISION ST
CHICAGO, IL 60651-1031
Phone number: 773-777-7112
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