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1679340319
JADE LOPEZ
CHICAGO, IL
NPI
1679340319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.025664)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
JADE LOPEZ
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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Mailing Address
JADE LOPEZ
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Copy
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