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1679663991
ANDREW BLAKE SUTH
CHICAGO, IL
NPI
1679663991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071006431)
Enumeration Date
2006-10-15
Last Update Date
2007-07-08
Business Address
Dr. ANDREW BLAKE SUTH Ph.D.
53 W JACKSON BLVD SUITE 602
CHICAGO, IL 60604-3606
Phone number: 773-718-0364
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Mailing Address
Dr. ANDREW BLAKE SUTH Ph.D.
4451 N PAULINA ST APT. 3
CHICAGO, IL 60640-5348
Phone number: 773-907-0364
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