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1093938375
MARY JOSEPHINE BIRCH
VILLA PARK, IL
NPI
1093938375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL MB49860101P)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Ms. MARY JOSEPHINE BIRCH MT-BC, DTS, CIMI
18W233 KNOLLWOOD LN
VILLA PARK, IL 60181-3634
Phone number: 630-953-2821
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Mailing Address
Ms. MARY JOSEPHINE BIRCH MT-BC, DTS, CIMI
18W233 KNOLLWOOD LN
VILLA PARK, IL 60181-3634
Phone number: 630-953-2821
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