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1992862999
SUSAN L BLOOM
CHICAGO, IL
NPI
1992862999
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Other Name
SUSAN B LIPSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149003124)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- SUSAN L BLOOM
5809 S BLACKSTONE AVE
CHICAGO, IL 60637-1855
Phone number: 773-667-9887
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Mailing Address
-- SUSAN L BLOOM
5809 S BLACKSTONE AVE
CHICAGO, IL 60637-1855
Phone number: 773-684-3488
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