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1912410366
SANDRA MOSQUEDA
CHICAGO, IL
NPI
1912410366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.019769)
Enumeration Date
2017-11-08
Last Update Date
2018-06-16
Business Address
Mrs. SANDRA MOSQUEDA LCSW
4051 W 63RD ST
CHICAGO, IL 60629-4638
Phone number: 773-742-5728
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Mailing Address
Mrs. SANDRA MOSQUEDA LCSW
725 9TH AVE
LA GRANGE, IL 60525-6728
Phone number: 773-742-5728
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