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1396752903
SUSAN KLOCK
CHICAGO, IL
NPI
1396752903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-004914)
Enumeration Date
2006-08-03
Last Update Date
2017-08-03
Business Address
-- SUSAN KLOCK PHD
680 N LAKE SHORE DR SUITE 1000
CHICAGO, IL 60611-4546
Phone number: 312-695-9797
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Mailing Address
-- SUSAN KLOCK PHD
680 N LAKE SHORE DR SUITE 1000
CHICAGO, IL 60611-4546
Phone number: 312-695-9797
Copy
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