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1376199075
DEREK VINCENT
CHICAGO, IL
NPI
1376199075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180012640)
Enumeration Date
2019-08-18
Last Update Date
2019-12-26
Business Address
DEREK VINCENT LCPC
1263 W LOYOLA AVE
CHICAGO, IL 60626-6537
Phone number: 773-274-4600
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Mailing Address
DEREK VINCENT LCPC
1632 RIVERVIEW AVE
DES PLAINES, IL 60018-2263
Phone number:
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