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Organization
TRIUMPH SEMINARS
Active
Organization
TRIUMPH SEMINARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREA FUMBANKS NANABRAY PHD, LCSW (FOUNDER, EXECUTIVE DIRECTOR)
(630) 825-9673
Entity
Organization
Contact information
Practice address
1310 W 64TH ST, CHICAGO, IL 60636-2913
(773) 912-6967
(844) 492-3952
Mailing address
1310 W 64TH ST, CHICAGO, IL 60636-2913
(773) 912-6967
(844) 492-3952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019056
IL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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