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Individual

MRS. CHANCIE RUNNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
965 S 5TH AVE, KANKAKEE, IL 60901-4815
(815) 933-3768
(815) 933-3768
Mailing address
965 S 5TH AVE, KANKAKEE, IL 60901-4815
(815) 933-3768
(815) 933-3768

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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