Provider Information for 1134652373
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NECOLE KATRESE ROBINSONMUHAMMAD LCSW, LSW
Other Names:Professional Name:NECOLE KATRESE MUHAMMAD LCSW, LSWSex: Female
NPI: 1134652373
Last Updated: 2017-04-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1134652373 | ||||||||||||
| Enumeration Date | 2017-04-05 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10428 S RHODES AVE CHICAGO, IL 60628-2938 United States Phone: 773-447-1145 | Fax: | ||||||||||||
| Primary Practice Address | 10428 S RHODES AVE CHICAGO, IL 60628-2938 United States Phone: 773-447-1145 | Fax: | ||||||||||||
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