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1518507045
EMILY PROCHASKA
PARK RIDGE, IL
NPI
1518507045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.014704)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
EMILY PROCHASKA MA, LPC
120 MAIN ST STE 200
PARK RIDGE, IL 60068-4044
Phone number: 312-237-6539
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Mailing Address
EMILY PROCHASKA MA, LPC
1509 N WESTERN AVE APT 202
CHICAGO, IL 60622-2416
Phone number: 614-264-0079
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