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1255765855
SUSAN BEATRICE MOSHER
OAK PARK, IL
NPI
1255765855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149006271)
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
MRS. SUSAN BEATRICE MOSHER LCSW
120 S MARION ST
OAK PARK, IL 60302-2809
Phone number: 708-383-7500
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Mailing Address
MRS. SUSAN BEATRICE MOSHER LCSW
5934 W MIDWAY PARK
CHICAGO, IL 60644-1845
Phone number: 773-287-0441
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