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1316219892
MOLLIE RYAN STOCK
CHICAGO, IL
NPI
1316219892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.004000)
Enumeration Date
2012-01-31
Last Update Date
2018-08-17
Business Address
MOLLIE RYAN STOCK LCPC, BC-DMT
5901 N CICERO AVE STE 606
CHICAGO, IL 60646-5721
Phone number: 773-726-7290
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Mailing Address
MOLLIE RYAN STOCK LCPC, BC-DMT
5255 W ARDMORE AVE
CHICAGO, IL 60646-6520
Phone number: 773-726-7290
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