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1497261762
ANISSA NICOLE DEAN
CHICAGO, IL
NPI
1497261762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015964)
Enumeration Date
2017-12-21
Last Update Date
2017-12-21
Business Address
ANISSA NICOLE DEAN
1475 E 69TH ST
CHICAGO, IL 60637-4910
Phone number: 773-720-6008
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Mailing Address
ANISSA NICOLE DEAN
1475 E 69TH ST
CHICAGO, IL 60637-4910
Phone number:
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