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1053654756
PAUL D EVERETT
CHICAGO, IL
NPI
1053654756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149015589)
Enumeration Date
2013-04-01
Last Update Date
2013-04-01
Business Address
Mr. PAUL D EVERETT
5524 W HARRISON ST
CHICAGO, IL 60644-5032
Phone number: 773-854-5077
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Mailing Address
Mr. PAUL D EVERETT
5524 W HARRISON ST
CHICAGO, IL 60644-5032
Phone number: 773-879-0536
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