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1588738652
JACK CHARLES SANDERS
CHICAGO, IL
NPI
1588738652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149005111)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Mr. JACK CHARLES SANDERS MSW
6650 NORTH NORTHWEST HWY SUITE 201
CHICAGO, IL 60631-1307
Phone number: 773-467-1154
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Mailing Address
Mr. JACK CHARLES SANDERS MSW
2229 WEST FARWELL AVE 1 WEST
CHICAGO, IL 60645-4809
Phone number: 773-467-1154
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