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1124513239
SUSAN MARIE WORTMAN
CHICAGO, IL
NPI
1124513239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.010657)
Enumeration Date
2018-06-30
Last Update Date
2018-06-30
Business Address
SUSAN MARIE WORTMAN LCPC
155 N MICHIGAN AVE STE 202
CHICAGO, IL 60601-7940
Phone number: 312-278-3054
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Mailing Address
SUSAN MARIE WORTMAN LCPC
2603 W CORTLAND ST # 2
CHICAGO, IL 60647-4210
Phone number:
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