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1386994804
ERIC V HARWELL
RICHTON PARK, IL
NPI
1386994804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.004975)
Enumeration Date
2012-09-12
Last Update Date
2014-01-03
Business Address
-- ERIC V HARWELL LCPC, QMHP
4137 SAUK TRL SUITE D
RICHTON PARK, IL 60471-1253
Phone number: 708-296-0214
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Mailing Address
-- ERIC V HARWELL LCPC, QMHP
PO BOX 1814
MATTESON, IL 60443-4814
Phone number: 708-296-0214
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