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1538902101
SAMUEL PEDERSEN
CHICAGO, IL
NPI
1538902101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.110917)
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
SAMUEL PEDERSEN LSW
4707 N BROADWAY ST
CHICAGO, IL 60640-4999
Phone number: 773-671-3512
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Mailing Address
SAMUEL PEDERSEN LSW
2412 W CORTLAND ST APT 2W
CHICAGO, IL 60647-6670
Phone number: 773-671-3512
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