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Individual

MRS. IRMA WHITESIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SOCIAL WORK

Contact information

Practice address
2213 GILBOA AVE, ZION, IL 60099-2240
(847) 746-0564
Mailing address
2213 GILBOA AVE, ZION, IL 60099-2240
(847) 746-0564

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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