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Organization
THEODORE HARRIS, LCSW, LLC
Active
Organization
THEODORE HARRIS, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE R HARRIS L.C.S.W. (OWNER)
(312) 576-5760
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD, SUITE 404, CHICAGO, IL 60604-3606
(312) 576-5760
Mailing address
927 ASBURY AVE, EVANSTON, IL 60202-1637
(773) 680-1534
(312) 674-7515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016113
IL
Other
Enumeration date
02/10/2014
Last updated
10/13/2016
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