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1699245530
LAVONZELL MOSES-SCOTT
CHICAGO, IL
NPI
1699245530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149010746)
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
LAVONZELL MOSES-SCOTT
3331 W POLK ST
CHICAGO, IL 60624-4148
Phone number: 312-914-2483
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Mailing Address
LAVONZELL MOSES-SCOTT
3331 W POLK ST
CHICAGO, IL 60624-4148
Phone number:
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