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1215560560
MATTHEW FAZENDIN
NAPERVILLE, IL
NPI
1215560560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149019380)
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
MATTHEW FAZENDIN LCSW
1560 WALL ST STE 204
NAPERVILLE, IL 60563-1146
Phone number: 888-345-3561
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Mailing Address
MATTHEW FAZENDIN LCSW
5625 WESTVIEW LN
LISLE, IL 60532-2768
Phone number: 630-885-0073
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