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1083952907
SARAH VIDA PUCCIA
CHICAGO, IL
NPI
1083952907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071.008339)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
Dr. SARAH VIDA PUCCIA Psy.D.
3601 N ASHLAND AVE
CHICAGO, IL 60613-3660
Phone number: 872-222-9153
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Mailing Address
Dr. SARAH VIDA PUCCIA Psy.D.
1324 W THORNDALE AVE
CHICAGO, IL 60660-3306
Phone number: 773-852-7119
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