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1497204473
KATHERINE TYSON
CHICAGO, IL
NPI
1497204473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149000192)
Enumeration Date
2016-10-01
Last Update Date
2016-10-01
Business Address
Dr. KATHERINE TYSON PhlD. L.C.S.W.
405 N WABASH AVE 509
CHICAGO, IL 60611-3591
Phone number: 312-329-1561
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Mailing Address
Dr. KATHERINE TYSON PhlD. L.C.S.W.
405 N WABASH AVE 509
CHICAGO, IL 60611-3591
Phone number: 312-329-1561
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