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1396022067
OLGA PRUTNIKOV
LIBERTYVILLE, IL
NPI
1396022067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.014175)
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
-- OLGA PRUTNIKOV MSW, LCSW
1800 HOLLISTER DR STE 201
LIBERTYVILLE, IL 60048-5266
Phone number: 847-549-1189
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Mailing Address
-- OLGA PRUTNIKOV MSW, LCSW
532 SHERIDAN RD APT 2B
EVANSTON, IL 60202-3159
Phone number:
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