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1467538769
ALTON CLARK DUBOIS
CHICAGO, IL
NPI
1467538769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.002367)
Enumeration Date
2006-10-29
Last Update Date
2007-07-08
Business Address
Dr. ALTON CLARK DUBOIS Ph.D.
4510 N FRANCISCO AVE
CHICAGO, IL 60625-3809
Phone number: 773-588-2658
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Mailing Address
Dr. ALTON CLARK DUBOIS Ph.D.
4510 N FRANCISCO AVE
CHICAGO, IL 60625-3809
Phone number: 773-588-2658
Copy
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