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1619350550
EDWIN CARABALLO
CHICAGO, IL
NPI
1619350550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017045)
Enumeration Date
2015-07-08
Last Update Date
2015-07-08
Business Address
Mr. EDWIN CARABALLO LCSW
1251 N CALIFORNIA AVE
CHICAGO, IL 60622-2867
Phone number: 773-895-2942
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Mailing Address
Mr. EDWIN CARABALLO LCSW
1251 N CALIFORNIA AVE
CHICAGO, IL 60622-2867
Phone number: 773-895-2942
Copy
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