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1700444320
BIANCA JASMIN CLARK
CHICAGO, IL
NPI
1700444320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.021215)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
BIANCA JASMIN CLARK LCSW
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-371-2900
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Mailing Address
BIANCA JASMIN CLARK LCSW
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-371-2900
Copy
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