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1750998407
JONETTA A CLARK
DOLTON, IL
NPI
1750998407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149022533)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
JONETTA A CLARK
1401 KASTEN DR
DOLTON, IL 60419-2443
Phone number: 773-679-0235
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Mailing Address
JONETTA A CLARK
1401 KASTEN DR
DOLTON, IL 60419-2443
Phone number: 773-679-0235
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