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1598913345
CARLOS JORGE ACOSTA
WOODSTOCK, IL
NPI
1598913345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.011623)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
Mr. CARLOS JORGE ACOSTA LCSW
110 S JOHNSON ST SUITE 212
WOODSTOCK, IL 60098-3259
Phone number: 815-206-0445
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Mailing Address
Mr. CARLOS JORGE ACOSTA LCSW
110 S JOHNSON ST SUITE 212
WOODSTOCK, IL 60098-3259
Phone number: 815-206-0445
Copy
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