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1003969247
ALICE K VIRGIL
LAKE FOREST, IL
NPI
1003969247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.010380)
Enumeration Date
2007-01-19
Last Update Date
2013-05-14
Business Address
-- ALICE K VIRGIL LCSW
950 N WESTERN AVE SUITE 1A
LAKE FOREST, IL 60045-1742
Phone number: 773-919-9170
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Mailing Address
-- ALICE K VIRGIL LCSW
12979 W SANCTUARY CT
LAKE BLUFF, IL 60044-1139
Phone number: 773-919-9170
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