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1366808974
MARY THEIS
EVANSTON, IL
NPI
1366808974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.004853)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
-- MARY THEIS MA, Cslg Psy LCPC
9343 DRAKE AVE
EVANSTON, IL 60203-1406
Phone number: 847-677-7022
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Mailing Address
-- MARY THEIS MA, Cslg Psy LCPC
9343 DRAKE AVE
EVANSTON, IL 60203-1406
Phone number: 847-677-7022
Copy
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