Provider Information for 1043998230
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NIKYRA JAMES MSW, PEL, LCSW
Sex: Female
NPI: 1043998230
Last Updated: 2023-07-07
Certification Date: 2023-07-07
Certification Date: 2023-07-07
Details
Name | Value | ||||||||
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NPI | 1043998230 | ||||||||
Enumeration Date | 2023-07-07 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1409 W CARROLL AVE CHICAGO, IL 60607-1105 United States Phone: | Fax: | ||||||||
Primary Practice Address | 1409 W CARROLL AVE CHICAGO, IL 60607-1105 United States Phone: 312-243-8487 | Fax: | ||||||||
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