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1811380835
SAMANTHA STACK
CHICAGO, IL
NPI
1811380835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-03-16
Last Update Date
2020-12-01
Business Address
SAMANTHA STACK LCPC
3301 W 111TH ST
CHICAGO, IL 60655-2715
Phone number: 312-469-0486
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Mailing Address
SAMANTHA STACK LCPC
3301 W 111TH ST
CHICAGO, IL 60655-2715
Phone number: 708-995-3726
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