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1518494467
MATTHEW VAN ETTEN
CHICAGO, IL
NPI
1518494467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178011879)
Enumeration Date
2017-05-22
Last Update Date
2017-05-22
Business Address
-- MATTHEW VAN ETTEN LPC
1015 W LAWRENCE AVE
CHICAGO, IL 60640-5017
Phone number: 773-275-2586
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Mailing Address
-- MATTHEW VAN ETTEN LPC
10136 S LEAVITT ST
CHICAGO, IL 60643-1910
Phone number:
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