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1629736046
JOHANNA IVETTE MELGOZA
CHICAGO, IL
NPI
1629736046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
JOHANNA IVETTE MELGOZA CRC, LPC
17 N WABASH AVE STE 515
CHICAGO, IL 60602-4818
Phone number: 313-312-5010
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Mailing Address
JOHANNA IVETTE MELGOZA CRC, LPC
3711 N OAKLEY AVE UNIT 2
CHICAGO, IL 60618-4812
Phone number: 773-877-4829
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