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1679131015
CELESTINE CLARK
BERWYN, IL
NPI
1679131015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
CELESTINE CLARK
6415 STANLEY AVE
BERWYN, IL 60402-3130
Phone number: 708-995-3893
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Mailing Address
CELESTINE CLARK
8453 S WABASH AVE
CHICAGO, IL 60619-5615
Phone number: 773-315-8614
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