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1255091492
BRIAN JOSEPH FASK
CHICAGO, IL
NPI
1255091492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.012306)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
BRIAN JOSEPH FASK LCSW
820 S DAMEN AVE # 6331
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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Mailing Address
BRIAN JOSEPH FASK LCSW
820 S DAMEN AVE # 6331
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Copy
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