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1871995217
FAITH JEFFERSON
CHICAGO, IL
NPI
1871995217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
-- FAITH JEFFERSON
9453 S ASHLAND AVE SUITE 14
CHICAGO, IL 60620-5146
Phone number: 773-238-5555
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Mailing Address
-- FAITH JEFFERSON
6639 S INGLESIDE AVE APT. 1
CHICAGO, IL 60637-4265
Phone number: 773-425-1196
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