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1346896966
ANDREW D CARSON
GLEN ELLYN, IL
NPI
1346896966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.010080)
Enumeration Date
2019-08-11
Last Update Date
2019-08-11
Business Address
ANDREW D CARSON PhD
420 PENNSYLVANIA AVE STE 101
GLEN ELLYN, IL 60137-4427
Phone number: 630-474-4353
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Mailing Address
ANDREW D CARSON PhD
420 PENNSYLVANIA AVE STE 101
GLEN ELLYN, IL 60137-4427
Phone number: 630-621-8378
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