ANTOINE MARISON

CHICAGO, IL
NPI1497251565
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  27123)
Enumeration Date2018-04-05
Last Update Date2018-04-05
Business Address
Mr. ANTOINE MARISON CADC
340 E 51ST ST
CHICAGO, IL 60615-3509
Phone number: 773-966-0333
Mailing Address
Mr. ANTOINE MARISON CADC
222 S JEFFERSON ST
CHICAGO, IL 60661-5603
Phone number: 312-441-9009
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