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1306263702
NICOLE FORD
CHICAGO, IL
NPI
1306263702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180009435)
Enumeration Date
2014-03-24
Last Update Date
2015-10-25
Business Address
DR. NICOLE FORD LCPC
6227 S COTTAGE GROVE AVE 310
CHICAGO, IL 60637-3176
Phone number: 312-622-8615
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Mailing Address
DR. NICOLE FORD LCPC
PO BOX 4793
CHICAGO, IL 60680-4793
Phone number: 312-622-8615
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