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1003886938
DALE SUSAN GODY
WILMETTE, IL
NPI
1003886938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071002314)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
Dr. DALE SUSAN GODY Ph.D.
3330 OLD GLENVIEW RD SUITE 16
WILMETTE, IL 60091-2963
Phone number: 847-251-7774
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Mailing Address
Dr. DALE SUSAN GODY Ph.D.
3330 OLD GLENVIEW RD SUITE 16
WILMETTE, IL 60091-2963
Phone number: 847-251-7774
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