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1366814147
MARY KIENZLE
CHICAGO, IL
NPI
1366814147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146002780)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- MARY KIENZLE
222 S RIVERSIDE PLZ 830
CHICAGO, IL 60606-5808
Phone number: 312-416-3804
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Mailing Address
-- MARY KIENZLE
222 S RIVERSIDE PLZ 830
CHICAGO, IL 60606-5808
Phone number: 312-416-3804
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