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1205940905
DENIS T MORIMOTO
LIBERTYVILLE, IL
NPI
1205940905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-003987)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Mr. DENIS T MORIMOTO LCSW
1117 S MILWAUKEE AVE FORUM SQUARE BLDG B STE 2
LIBERTYVILLE, IL 60048-3798
Phone number: 847-367-6900
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Mailing Address
Mr. DENIS T MORIMOTO LCSW
3428 WIRTH TRL
CRYSTAL LAKE, IL 60012-1431
Phone number: 847-367-6900
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