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1013554575
BRIAN SCHULTZ
GRAYSLAKE, IL
NPI
1013554575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.021800)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
Mr. BRIAN SCHULTZ LCSW
106 CENTER ST
GRAYSLAKE, IL 60030-1533
Phone number: 847-549-2235
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Mailing Address
Mr. BRIAN SCHULTZ LCSW
106 CENTER ST
GRAYSLAKE, IL 60030-1533
Phone number: 847-668-8813
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