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1598294852
LAURA D MIZICKO
CHICAGO, IL
NPI
1598294852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149017992)
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
LAURA D MIZICKO LCSW
5316 N. LOVEJOY AVE.
CHICAGO, IL 60630-1212
Phone number: 773-480-9290
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Mailing Address
LAURA D MIZICKO LCSW
5316 N LOVEJOY AVE
CHICAGO, IL 60630-1212
Phone number: 773-480-9290
Copy
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