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Individual

AUGUSTUS C EDEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5658 S KOLIN AVE UNIT 2, CHICAGO, IL 60629-4839
(773) 412-7420
(773) 306-2675
Mailing address
5658 S KOLIN AVE UNIT 2, CHICAGO, IL 60629-4839
(773) 412-7420

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015078
IL

Other

Enumeration date
02/24/2012
Last updated
02/12/2024
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