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1104055953
COURTNEY K DOMENICO
CHICAGO, IL
NPI
1104055953
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Former Name
COURTNEY D BURTSCHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071007703)
Enumeration Date
2009-07-14
Last Update Date
2016-04-28
Business Address
Dr. COURTNEY K DOMENICO PsyD
1300 W BELMONT AVE SUITE 302
CHICAGO, IL 60657-3200
Phone number: 773-883-5398
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Mailing Address
Dr. COURTNEY K DOMENICO PsyD
1300 W BELMONT AVE SUITE 302
CHICAGO, IL 60657-3200
Phone number: 773-883-5398
Copy
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