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Individual

MRS. CHARLOTTE D. NEWSOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
7956 S VERNON AVE, CHICAGO, IL 60619-3760
(773) 844-5957
Mailing address
PO BOX 19195, CHICAGO, IL 60619-0195
(773) 844-5957

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
013326
IL

Other

Enumeration date
02/12/2021
Last updated
03/03/2021
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