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1609268622
LERNARD PERSON
BERWYN, IL
NPI
1609268622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 29548)
Enumeration Date
2015-02-27
Last Update Date
2024-11-01
Business Address
LERNARD PERSON CRADC
6918 W WINDSOR AVE
BERWYN, IL 60402-3334
Phone number: 708-745-5277
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Mailing Address
LERNARD PERSON CRADC
5220 EAST AVE STE 1
COUNTRYSIDE, IL 60525-3133
Phone number: 708-745-5277
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