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1033634225
CHANEL A GRAY
CHICAGO, IL
NPI
1033634225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.010925)
Enumeration Date
2017-08-08
Last Update Date
2019-08-29
Business Address
CHANEL A GRAY LCPC
10540 S WESTERN AVE STE 103
CHICAGO, IL 60643-2541
Phone number: 708-529-9544
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Mailing Address
CHANEL A GRAY LCPC
109 CATERPILLAR DR APT 1B
JOLIET, IL 60436-1037
Phone number:
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