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1861998908
ELAINE DAVIS
CHICAGO, IL
NPI
1861998908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 25271)
Enumeration Date
2018-04-05
Last Update Date
2018-04-05
Business Address
Ms. ELAINE DAVIS CADC
33 E 114TH ST
CHICAGO, IL 60628-4921
Phone number: 773-660-4630
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Mailing Address
Ms. ELAINE DAVIS CADC
222 S JEFFERSON ST
CHICAGO, IL 60661-5603
Phone number: 312-441-9009
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