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1649626854
MADELINE MACY ROOT
CHICAGO, IL
NPI
1649626854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018484)
Enumeration Date
2016-05-05
Last Update Date
2016-05-05
Business Address
-- MADELINE MACY ROOT LCSW
2542 W NORTH AVE
CHICAGO, IL 60647-5216
Phone number: 872-235-1296
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Mailing Address
-- MADELINE MACY ROOT LCSW
2550 W GUNNISON ST APT 3
CHICAGO, IL 60625-2814
Phone number: 847-899-7060
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