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1154963429
SUSAN MARIE LEE
ANTIOCH, IL
NPI
1154963429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IL 42989)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
SUSAN MARIE LEE
26177 W GRASS LAKE RD
ANTIOCH, IL 60002-9613
Phone number: 847-395-1550
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Mailing Address
SUSAN MARIE LEE
213 CANNON RD
VOLO, IL 60073-8180
Phone number: 847-207-1006
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