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1659633626
DIANE L BENNETT
ORLAND PARK, IL
NPI
1659633626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-007415)
Enumeration Date
2012-06-14
Last Update Date
2012-06-14
Business Address
-- DIANE L BENNETT LCSW
15300 WEST AVE SUITE 313
ORLAND PARK, IL 60462-4600
Phone number: 708-460-2721
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Mailing Address
-- DIANE L BENNETT LCSW
15300 WEST AVE SUITE 313
ORLAND PARK, IL 60462-4600
Phone number: 708-460-2721
Copy
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