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1629500632
MATTHEW SHAY
CHICAGO, IL
NPI
1629500632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
MATTHEW SHAY
2601 W MARQUETTE RD
CHICAGO, IL 60629-1817
Phone number: 312-655-7805
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Mailing Address
MATTHEW SHAY
2601 W MARQUETTE RD
CHICAGO, IL 60629-1817
Phone number: 312-655-7805
Copy
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