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1699235663
MISA LOPEZ
CHICAGO, IL
NPI
1699235663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015435)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
Ms. MISA LOPEZ LCSW
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8603
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Mailing Address
Ms. MISA LOPEZ LCSW
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8603
Copy
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