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1184179970
TERRANCE IRVING
ELK GROVE VILLAGE, IL
NPI
1184179970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 31671)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- TERRANCE IRVING
1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007-3217
Phone number: 224-213-8669
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Mailing Address
-- TERRANCE IRVING
1001 ROHLWING RD
ELK GROVE VILLAGE, IL 60007-3217
Phone number: 224-213-8669
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