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1508367848
KEITH J. HARRIS
CHICAGO, IL
NPI
1508367848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018572)
Enumeration Date
2018-02-22
Last Update Date
2021-01-04
Business Address
KEITH J. HARRIS LCSW
3411 W DIVERSEY AVE OFC 14
CHICAGO, IL 60647-1245
Phone number: 224-534-0331
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Mailing Address
KEITH J. HARRIS LCSW
3411 W DIVERSEY AVE OFC 14
CHICAGO, IL 60647-1245
Phone number: 224-534-0331
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