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Individual

MICHELE EARLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SW

Contact information

Practice address
12612 S JUSTINE ST, CALUMET PARK, IL 60827-6010
(773) 849-1724
Mailing address
12612 S JUSTINE ST, CALUMET PARK, IL 60827-6010
(773) 849-1724

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
63152
TX

Other

Enumeration date
07/16/2018
Last updated
07/16/2018
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