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1023112067
SUSAN BURKHARDT
EVANSTON, IL
NPI
1023112067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-000187)
Enumeration Date
2006-09-11
Last Update Date
2007-07-08
Business Address
-- SUSAN BURKHARDT LCSW
1005 MULFORD ST
EVANSTON, IL 60202-3316
Phone number: 847-328-8207
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Mailing Address
-- SUSAN BURKHARDT LCSW
1005 MULFORD ST
EVANSTON, IL 60202-3316
Phone number: 847-328-8207
Copy
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