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1316653199
PORTIA BROCK
CHICAGO, IL
NPI
1316653199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178018863)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
Mrs. PORTIA BROCK LPC
566 W LAKE ST STE 200
CHICAGO, IL 60661-1413
Phone number: 312-371-5680
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Mailing Address
Mrs. PORTIA BROCK LPC
3152 W 84TH ST
CHICAGO, IL 60652-3425
Phone number: 773-512-6773
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