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1104928688
ALYSON GENELL MARSALIS
WAUKEGAN, IL
NPI
1104928688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180-003791)
Enumeration Date
2006-09-03
Last Update Date
2007-07-08
Business Address
-- ALYSON GENELL MARSALIS LCPC
2634 GRAND AVE SUITE 107
WAUKEGAN, IL 60085-2458
Phone number: 847-249-3510
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Mailing Address
-- ALYSON GENELL MARSALIS LCPC
2634 GRAND AVE SUITE 107
WAUKEGAN, IL 60085-2458
Phone number: 847-249-3510
Copy
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