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1619632767
JODY MICHAEL
CHICAGO, IL
NPI
1619632767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-009563)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
JODY MICHAEL LCSW
405 N WABASH AVE UNIT 2615
CHICAGO, IL 60611-8502
Phone number: 773-275-5566
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Mailing Address
JODY MICHAEL LCSW
4860 N PAULINA ST
CHICAGO, IL 60640-4106
Phone number: 773-275-5566
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