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1982326427
RAVEN D TAYBORN
CHICAGO, IL
NPI
1982326427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150.106749)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
RAVEN D TAYBORN MSW, LSW
1802 W BELMONT AVE
CHICAGO, IL 60657-9376
Phone number: 847-383-7090
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Mailing Address
RAVEN D TAYBORN MSW, LSW
1370 W GREENLEAF AVE APT 3N
CHICAGO, IL 60626-2973
Phone number: 217-766-7467
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