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1194026443
CLARK Q BECKLEY
LISLE, IL
NPI
1194026443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016945)
Enumeration Date
2010-11-03
Last Update Date
2016-09-30
Business Address
Mr. CLARK Q BECKLEY LCSW
4745 MAIN ST SUITE 207
LISLE, IL 60532-1754
Phone number: 630-442-1895
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Mailing Address
Mr. CLARK Q BECKLEY LCSW
4745 MAIN ST SUITE 207
LISLE, IL 60532-1754
Phone number: 630-442-1895
Copy
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