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1740339514
STACEY A GOTTLIEB
OAK PARK, IL
NPI
1740339514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-007605)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
Ms. STACEY A GOTTLIEB MSW
1122 WESTGATE ST
OAK PARK, IL 60301-1170
Phone number: 773-531-0071
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Mailing Address
Ms. STACEY A GOTTLIEB MSW
4910 N AVERS AVE UNIT 2
CHICAGO, IL 60625-4071
Phone number: 773-531-0071
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