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1104325448
CURTIS LEE SLATE
CHICAGO, IL
NPI
1104325448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
CURTIS LEE SLATE MHS
7601 S KOSTNER AVE
CHICAGO, IL 60652-1126
Phone number: 773-224-7386
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Mailing Address
CURTIS LEE SLATE MHS
7601 S KOSTNER AVE
CHICAGO, IL 60652-1126
Phone number: 773-224-7386
Copy
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