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1013033885
MARK CHARLES MACDONALD
WHEATON, IL
NPI
1013033885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-000701)
Enumeration Date
2007-03-22
Last Update Date
2013-11-12
Business Address
-- MARK CHARLES MACDONALD LCSW
600 W ROOSEVELT RD SUITE A2
WHEATON, IL 60187-5088
Phone number: 630-462-8810
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Mailing Address
-- MARK CHARLES MACDONALD LCSW
600 W ROOSEVELT RD SUITE A2
WHEATON, IL 60187-5088
Phone number: 630-462-8810
Copy
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