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1659645463
SUSAN MCKNIGHT
WAUKEGAN, IL
NPI
1659645463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 1104)
Enumeration Date
2012-02-27
Last Update Date
2012-02-27
Business Address
-- SUSAN MCKNIGHT CAADC
3004 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8205
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Mailing Address
-- SUSAN MCKNIGHT CAADC
3004 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8205
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