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1023469707
MAYRA SOTOMAYOR
CHICAGO, IL
NPI
1023469707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-24
Last Update Date
2016-06-24
Business Address
-- MAYRA SOTOMAYOR
6417 W IRVING PARK RD
CHICAGO, IL 60634-2437
Phone number: 773-777-7112
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Mailing Address
-- MAYRA SOTOMAYOR
3518 BARB AVE
PARK CITY, IL 60085-5904
Phone number:
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