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1326392408
SUZANNE GRANT BLOMBERG
CHICAGO, IL
NPI
1326392408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.008011)
Enumeration Date
2012-10-29
Last Update Date
2012-10-29
Business Address
Mrs. SUZANNE GRANT BLOMBERG LCPC
4765 N LINCOLN AVE STE 209
CHICAGO, IL 60625-2077
Phone number: 773-255-7500
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Mailing Address
Mrs. SUZANNE GRANT BLOMBERG LCPC
4765 N LINCOLN AVE STE 209
CHICAGO, IL 60625-2077
Phone number: 773-255-7500
Copy
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