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1245773845
SARA VIVENS
CHICAGO, IL
NPI
1245773845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.011447)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
Miss SARA VIVENS LPC
5205 N WAYNE AVE APT 2M
CHICAGO, IL 60640-2242
Phone number: 614-439-8983
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Mailing Address
Miss SARA VIVENS LPC
5205 N WAYNE AVE APT 2M
CHICAGO, IL 60640-2242
Phone number: 614-439-8983
Copy
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