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Individual

BARBARA JEAN SAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
265 W 106TH PL, CHICAGO, IL 60628-2535
(708) 916-1855
Mailing address
265 W 106TH PL, CHICAGO, IL 60628-2535
(708) 916-1855

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150107453
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171270911
IL
Enumeration date
11/08/2025
Last updated
11/08/2025
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