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1104194802
MARY ANASTASI
PARK RIDGE, IL
NPI
1104194802
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Former Name
MARY MARGARET MCGRATH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149009586)
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
-- MARY ANASTASI LCSW, PhD
36 MAIN ST
PARK RIDGE, IL 60068-4059
Phone number: 512-788-3837
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Mailing Address
-- MARY ANASTASI LCSW, PhD
200 LAWNDALE ST
WILMETTE, IL 60091-3213
Phone number: 847-728-0822
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