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1477140283
JEFFERSON PARK COUNSELING
CHICAGO, IL
NPI
1477140283
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Entity Type
Organization
Authorized Contact
WILLIAM KOCH
Owner
773-707-5833
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
JEFFERSON PARK COUNSELING
5123 W AINSLIE ST
CHICAGO, IL 60630-2304
Phone number: 773-707-5833
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Mailing Address
JEFFERSON PARK COUNSELING
5123 W AINSLIE ST
CHICAGO, IL 60630-2304
Phone number: 773-707-5833
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