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1003859554
CHARLES LARSON ALEXANDER
ORLAND PARK, IL
NPI
1003859554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071006493)
Enumeration Date
2006-06-13
Last Update Date
2008-03-03
Business Address
Dr. CHARLES LARSON ALEXANDER PsyD
15020 S RAVINIA AVE
ORLAND PARK, IL 60462-3166
Phone number: 708-873-9059
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Mailing Address
Dr. CHARLES LARSON ALEXANDER PsyD
19114 JONATHAN LN
HOMEWOOD, IL 60430-4412
Phone number: 773-457-3303
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