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1639700685
MYRA CLEMENTINE CASTANEDA
CHICAGO, IL
NPI
1639700685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.001321)
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
Mrs. MYRA CLEMENTINE CASTANEDA LMFT
5100 N RAVENSWOOD AVE STE 209
CHICAGO, IL 60640-1710
Phone number: 773-769-7204
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Mailing Address
Mrs. MYRA CLEMENTINE CASTANEDA LMFT
5011 N CALIFORNIA AVE APT 2
CHICAGO, IL 60625-3617
Phone number: 773-656-2504
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