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1366130452
DANIEL SUFFOLETTA
CHICAGO, IL
NPI
1366130452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61421143)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
DANIEL SUFFOLETTA
1731 N MARCEY ST STE 510
CHICAGO, IL 60614-7955
Phone number: 773-538-3996
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Mailing Address
DANIEL SUFFOLETTA
2741 N MILDRED AVE APT 2N
CHICAGO, IL 60614-8147
Phone number:
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