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1710308838
AMERSON FONTANA
CHICAGO, IL
NPI
1710308838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149018446)
Enumeration Date
2013-12-16
Last Update Date
2016-06-09
Business Address
AMERSON FONTANA
1657 W CORTLAND ST
CHICAGO, IL 60622-1119
Phone number: 847-486-4140
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Mailing Address
AMERSON FONTANA
950 LEE ST
DES PLAINES, IL 60016-6532
Phone number:
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