PAUL J. DETAEGE

CHICAGO, IL
NPI1598887580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.008180)
Enumeration Date2007-04-03
Last Update Date2022-08-05
Business Address
Mr. PAUL J. DETAEGE L.C.S.W.
5215 N RAVENSWOOD AVE STE 314
CHICAGO, IL 60640-1670
Phone number: 773-988-4965
Mailing Address
Mr. PAUL J. DETAEGE L.C.S.W.
5215 N RAVENSWOOD AVE STE 314
CHICAGO, IL 60640-1670
Phone number: 773-988-4965
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