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1851074108
THERESA LATISHA WATERS
CHICAGO, IL
NPI
1851074108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
THERESA LATISHA WATERS
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613-3011
Phone number: 773-659-9207
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Mailing Address
THERESA LATISHA WATERS
3 ELM CREEK DR APT 410
ELMHURST, IL 60126-5233
Phone number:
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