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1770130171
STEPHANIE INDIANER
CHICAGO, IL
NPI
1770130171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
STEPHANIE INDIANER LCSW, MAT
2409 N CLYBOURN AVE
CHICAGO, IL 60614-6185
Phone number: 773-755-1775
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Mailing Address
STEPHANIE INDIANER LCSW, MAT
2231 N SAWYER AVE APT A
CHICAGO, IL 60647-1089
Phone number:
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