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1912287632
SHARON JEAN PEDDICORD
WAUKEGAN, IL
NPI
1912287632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.011772)
Enumeration Date
2011-08-25
Last Update Date
2011-08-25
Business Address
-- SHARON JEAN PEDDICORD LCSW
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8315
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Mailing Address
-- SHARON JEAN PEDDICORD LCSW
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8315
Copy
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