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1639880248
TIMOTHY LOU BAKER
CHICAGO, IL
NPI
1639880248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.006588)
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
TIMOTHY LOU BAKER LCPC
2930 WEST GRAND AVENUE
CHICAGO, IL 60622
Phone number: 872-817-9856
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Mailing Address
TIMOTHY LOU BAKER LCPC
2930 WEST GRAND AVENUE
CHICAGO, IL 60622
Phone number: 872-817-9856
Copy
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