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1336542406
TOLLY BASEMAN
CHICAGO, IL
NPI
1336542406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180008761)
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
-- TOLLY BASEMAN LCPC
2525 W PETERSON AVE
CHICAGO, IL 60659-4108
Phone number: 773-765-0618
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Mailing Address
-- TOLLY BASEMAN LCPC
2525 W PETERSON AVE
CHICAGO, IL 60659-4108
Phone number:
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