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1376877738
ANN LAKE BRYANT
BERWYN, IL
NPI
1376877738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
Ms. ANN LAKE BRYANT M.A.
6918 WINDSOR AVE
BERWYN, IL 60402-3334
Phone number: 708-745-5277
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Mailing Address
Ms. ANN LAKE BRYANT M.A.
148 N HUMPHREY AVE APT C1
OAK PARK, IL 60302-2540
Phone number: 708-948-7193
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