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1508498304
NATHALY BASSAM SHAMMO
EVANSTON, IL
NPI
1508498304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
NATHALY BASSAM SHAMMO
2100 RIDGE AVE
EVANSTON, IL 60201-2716
Phone number: 847-666-2977
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Mailing Address
NATHALY BASSAM SHAMMO
2100 RIDGE AVE
EVANSTON, IL 60201-2716
Phone number:
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