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1639378623
ROGER B HANSEN
CHICAGO, IL
NPI
1639378623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.004754)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
-- ROGER B HANSEN LCPC
2042 W MORSE AVE 1E
CHICAGO, IL 60645-4955
Phone number: 773-420-8928
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Mailing Address
-- ROGER B HANSEN LCPC
2042 W MORSE AVE 1E
CHICAGO, IL 60645-4955
Phone number: 773-420-8928
Copy
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