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1568924561
MIKAIL BASS
HAZEL CREST, IL
NPI
1568924561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.102404)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
MIKAIL BASS
17114 WHITTIER AVE
HAZEL CREST, IL 60429-1120
Phone number: 708-646-4467
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Mailing Address
MIKAIL BASS
17114 WHITTIER AVE
HAZEL CREST, IL 60429-1120
Phone number:
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