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1942403290
MADUCOLIL MATHAI ABRAHAM
CHICAGO, IL
NPI
1942403290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149002489)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Mr. MADUCOLIL MATHAI ABRAHAM LCSW, ACSW
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8063
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Mailing Address
Mr. MADUCOLIL MATHAI ABRAHAM LCSW, ACSW
1110 LONGFORD DR
WESTMONT, IL 60559-2632
Phone number: 630-852-8931
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