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1568543759
ILYSA CARRIE GROSSMAN
BERWYN, IL
NPI
1568543759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007028)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Ms. ILYSA CARRIE GROSSMAN LCSW
6918 WINDSOR AVE
BERWYN, IL 60402
Phone number: 708-795-4800
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Mailing Address
Ms. ILYSA CARRIE GROSSMAN LCSW
6918 WINDSOR AVE
BERWYN, IL 60402
Phone number: 708-795-4800
Copy
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