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1841963915
THERESA MARIE VIDALON
CHICAGO, IL
NPI
1841963915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.024279)
Enumeration Date
2021-07-26
Last Update Date
2022-02-14
Business Address
Ms. THERESA MARIE VIDALON LCSW
47 W POLK ST STE 250
CHICAGO, IL 60605-2765
Phone number: 312-564-2315
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Mailing Address
Ms. THERESA MARIE VIDALON LCSW
6002 S. HALSTED STREET ATTN THERESA VIDALON
CHICAGO, IL 60621
Phone number: 312-564-2315
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