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1972162808
SAMANTHA MACIAGA
TINLEY PARK, IL
NPI
1972162808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.012902)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
SAMANTHA MACIAGA
6819 167TH ST
TINLEY PARK, IL 60477-2501
Phone number: 708-633-8000
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Mailing Address
SAMANTHA MACIAGA
6819 167TH ST
TINLEY PARK, IL 60477-2501
Phone number: 630-296-7665
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