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1255460010
FORD WILLOUGHBY
OAK PARK, IL
NPI
1255460010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180005100)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mr. FORD WILLOUGHBY MA, LCPC
1029 LAKE ST
OAK PARK, IL 60301-1104
Phone number: 708-271-2864
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Mailing Address
Mr. FORD WILLOUGHBY MA, LCPC
225 S TAYLOR AVE
OAK PARK, IL 60302-3323
Phone number: 708-271-2864
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