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1194018994
SUSAN R TERRELL
OAK PARK, IL
NPI
1194018994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007316)
Enumeration Date
2011-05-26
Last Update Date
2012-08-03
Business Address
Mrs. SUSAN R TERRELL LCSW
429 N MARION ST SUITE 205
OAK PARK, IL 60302-1800
Phone number: 773-396-6750
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Mailing Address
Mrs. SUSAN R TERRELL LCSW
4611 N DRAKE AVE
CHICAGO, IL 60625-5813
Phone number: 773-396-6750
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