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1598175598
ELISE CARRIE BOLDEN-BAILEY
CHICAGO, IL
NPI
1598175598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 27812)
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
-- ELISE CARRIE BOLDEN-BAILEY CADC
3936 W ROOSEVELT RD SUITE 2
CHICAGO, IL 60624-4389
Phone number: 773-826-0398
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Mailing Address
-- ELISE CARRIE BOLDEN-BAILEY CADC
3936 W ROOSEVELT RD
CHICAGO, IL 60624-4389
Phone number: 773-826-0398
Copy
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