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1619539632
BENJAMIN MENDOZA
CHICAGO, IL
NPI
1619539632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149027148)
Additional Taxonomies
174400000X Specialist
Enumeration Date
2019-06-29
Last Update Date
2024-06-21
Business Address
BENJAMIN MENDOZA LCSW
6303 W 63RD ST UNIT 3C
CHICAGO, IL 60638-7015
Phone number: 773-993-8389
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Mailing Address
BENJAMIN MENDOZA LCSW
6303 W 63RD ST UNIT 3C
CHICAGO, IL 60638-7015
Phone number: 773-993-8389
Copy
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