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1528470192
PHYLLIS JOAN SHADWICK
CHICAGO, IL
NPI
1528470192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.003288)
Enumeration Date
2014-05-29
Last Update Date
2014-05-29
Business Address
Ms. PHYLLIS JOAN SHADWICK
880 N LAKE SHORE DR #25C
CHICAGO, IL 60611-1761
Phone number: 312-339-5273
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Mailing Address
Ms. PHYLLIS JOAN SHADWICK
880 N LAKE SHORE DR #25C
CHICAGO, IL 60611-1761
Phone number:
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