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1003595463
AMY TEVAULT
CHICAGO, IL
NPI
1003595463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.019198)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
AMY TEVAULT MA, LPC
303 E WACKER DR STE 1130
CHICAGO, IL 60601-5227
Phone number: 312-600-3935
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Mailing Address
AMY TEVAULT MA, LPC
303 E WACKER DR
CHICAGO, IL 60601-5212
Phone number: 312-600-3935
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