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1891236774
EBONY LOUISE JIMINEZ LEE
PARK RIDGE, IL
NPI
1891236774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.010715)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- EBONY LOUISE JIMINEZ LEE
3 S PROSPECT AVE
PARK RIDGE, IL 60068-4177
Phone number: 773-704-3920
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Mailing Address
-- EBONY LOUISE JIMINEZ LEE
7434 N CAMPBELL AVE
CHICAGO, IL 60645-1649
Phone number: 773-704-3920
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