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1023434800
SUSAN CHARLES
CRYSTAL LAKE, IL
NPI
1023434800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180008032)
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
SUSAN CHARLES LCPC
610 CRYSTAL POINT DR STE 3
CRYSTAL LAKE, IL 60014-1400
Phone number: 815-981-1979
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Mailing Address
SUSAN CHARLES LCPC
320 RIDGE AVE
CRYSTAL LAKE, IL 60014-3421
Phone number: 815-981-1979
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