LAWRENCE CLINTON TICE

CHICAGO, IL
NPI1114183266
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-001771)
Enumeration Date2008-07-29
Last Update Date2008-07-29
Business Address
Mr. LAWRENCE CLINTON TICE LCSW
5000 S EAST AVE APT 7C APT 7C
CHICAGO, IL 60615-3177
Phone number: 773-363-6757
Mailing Address
Mr. LAWRENCE CLINTON TICE LCSW
5000 S EAST END AVE APT 7C
CHICAGO, IL 60615-3177
Phone number: 773-363-6757
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