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1104540335
SUSAN ALEXANDRA RIVERA
CHICAGO, IL
NPI
1104540335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.016392)
Enumeration Date
2022-09-30
Last Update Date
2024-12-04
Business Address
SUSAN ALEXANDRA RIVERA LCPC
1713 S ASHLAND AVE
CHICAGO, IL 60608-2014
Phone number: 312-742-1955
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Mailing Address
SUSAN ALEXANDRA RIVERA LCPC
1105 S WESTERN AVE
CHICAGO, IL 60612-4146
Phone number: 312-744-1157
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