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1386787026
ELIZABETH ROSE MATTAX
FOREST PARK, IL
NPI
1386787026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180002222)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Ms. ELIZABETH ROSE MATTAX LCPC
540 FERDINAND AVE
FOREST PARK, IL 60130-1889
Phone number: 708-714-3200
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Mailing Address
Ms. ELIZABETH ROSE MATTAX LCPC
540 FERDINAND AVE
FOREST PARK, IL 60130-1889
Phone number: 708-714-3200
Copy
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