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1013032192
CONNIE S STANISLAUS
LIBERTYVILLE, IL
NPI
1013032192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 149001864)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- CONNIE S STANISLAUS LCSW
114 W ROCKLAND RD
LIBERTYVILLE, IL 60060
Phone number: 847-816-9180
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Mailing Address
-- CONNIE S STANISLAUS LCSW
114 W ROCKLAND RD
LIBERTYVILLE, IL 60060
Phone number: 847-816-9180
Copy
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