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1679700025
MARYAM BASMENJI
CHICAGO, IL
NPI
1679700025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149013966)
Enumeration Date
2009-06-12
Last Update Date
2011-11-23
Business Address
-- MARYAM BASMENJI LCSW
10 E ONTARIO ST 2008
CHICAGO, IL 60611-2736
Phone number: 801-580-9673
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Mailing Address
-- MARYAM BASMENJI LCSW
420 E WATERSIDE DR UNIT 610
CHICAGO, IL 60601-8001
Phone number: 801-580-9673
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