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1366700155
ROBERT PRESTON STANFORD
CHICAGO, IL
NPI
1366700155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.008054)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
Mr. ROBERT PRESTON STANFORD LCPC
1649 W SHERWIN AVE APT 3
CHICAGO, IL 60626-1900
Phone number: 773-559-5958
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Mailing Address
Mr. ROBERT PRESTON STANFORD LCPC
1649 WEST SHERWIN AVE. #3
CHICAGO, IL 60626-1900
Phone number: 773-559-5958
Copy
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