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1205819794
KENNETH HORACE
CHICAGO, IL
NPI
1205819794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149000330)
Enumeration Date
2005-11-29
Last Update Date
2007-07-08
Business Address
Mr. KENNETH HORACE LCSW
2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616-2333
Phone number: 312-567-6691
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Mailing Address
Mr. KENNETH HORACE LCSW
2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616-2333
Phone number: 312-567-6691
Copy
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