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1538273883
DAVID J EVANGELISTA
WOODSTOCK, IL
NPI
1538273883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-008014)
Enumeration Date
2006-08-17
Last Update Date
2010-06-18
Business Address
Mr. DAVID J EVANGELISTA LCSW
1400 N SEMINARY AVE SUITE #L
WOODSTOCK, IL 60098-2980
Phone number: 815-529-4489
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Mailing Address
Mr. DAVID J EVANGELISTA LCSW
2506 CHURCH ST
JOHNSBURG, IL 60050-1916
Phone number: 815-578-0074
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