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1720326168
TIJUAN L FLEMING
CHICAGO, IL
NPI
1720326168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-18
Last Update Date
2013-01-18
Business Address
Mr. TIJUAN L FLEMING CADC
721 W MELROSE ST APT B
CHICAGO, IL 60657-3468
Phone number: 773-549-2021
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Mailing Address
Mr. TIJUAN L FLEMING CADC
721 W MELROSE ST APT B
CHICAGO, IL 60657-3468
Phone number: 773-549-2021
Copy
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