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1023336088
AMANDA BEVACQUA
CHICAGO, IL
NPI
1023336088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166000656)
Enumeration Date
2010-05-13
Last Update Date
2010-08-06
Business Address
-- AMANDA BEVACQUA LMFT
2334 W LAWRENCE AVE SUITE 212
CHICAGO, IL 60625-1948
Phone number: 773-988-5147
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Mailing Address
-- AMANDA BEVACQUA LMFT
4845 N SPRINGFIELD AVE
CHICAGO, IL 60625-6213
Phone number:
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