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1104081108
TERRI FRY BRUKHARTZ
OAK PARK, IL
NPI
1104081108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-008928)
Enumeration Date
2008-07-20
Last Update Date
2008-07-20
Business Address
-- TERRI FRY BRUKHARTZ LCSW
1010 LAKE ST STE. 616
OAK PARK, IL 60301-1147
Phone number: 708-386-0500
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Mailing Address
-- TERRI FRY BRUKHARTZ LCSW
928 N GROVE AVE
OAK PARK, IL 60302-1342
Phone number: 708-386-0500
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