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1245753847
SHANE L. TYTENICZ
CHICAGO, IL
NPI
1245753847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-25
Last Update Date
2020-09-21
Business Address
SHANE L. TYTENICZ
40 E DELAWARE PL UNIT 1601
CHICAGO, IL 60611-2014
Phone number: 224-307-4697
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Mailing Address
SHANE L. TYTENICZ
40 E DELAWARE PL UNIT 1601
CHICAGO, IL 60611-1479
Phone number: 312-504-8463
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