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1134481658
GRANT WHITE
CHICAGO, IL
NPI
1134481658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-005123)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
Dr. GRANT WHITE Psy.D.
222 MERCHANDISE MART PLZ SUITE 13-659 ROOM #1352
CHICAGO, IL 60654-1103
Phone number: 708-207-8074
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Mailing Address
Dr. GRANT WHITE Psy.D.
23002 AMBER LN
RICHTON PARK, IL 60471-1282
Phone number: 708-503-9880
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