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1497251565
ANTOINE MARISON
CHICAGO, IL
NPI
1497251565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 27123)
Enumeration Date
2018-04-05
Last Update Date
2018-04-05
Business Address
Mr. ANTOINE MARISON CADC
340 E 51ST ST
CHICAGO, IL 60615-3509
Phone number: 773-966-0333
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Mailing Address
Mr. ANTOINE MARISON CADC
222 S JEFFERSON ST
CHICAGO, IL 60661-5603
Phone number: 312-441-9009
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