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1538403480
JESSICA ANNE MASBAUM
CHICAGO, IL
NPI
1538403480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.011866)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Ms. JESSICA ANNE MASBAUM LCSW
1016 W JACKSON BLVD
CHICAGO, IL 60607-2914
Phone number: 312-203-2370
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Mailing Address
Ms. JESSICA ANNE MASBAUM LCSW
4885 N PAULINA ST 3E
CHICAGO, IL 60640-4119
Phone number: 773-575-8771
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