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1679906556
IVAN VELASCO
SKOKIE, IL
NPI
1679906556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.008757)
Enumeration Date
2013-08-15
Last Update Date
2017-03-14
Business Address
Mr. IVAN VELASCO LCPC
5225 OLD ORCHARD RD SUITE 5
SKOKIE, IL 60077-1027
Phone number: 847-260-8164
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Mailing Address
Mr. IVAN VELASCO LCPC
5225 OLD ORCHARD RD SUITE 5
SKOKIE, IL 60077-1027
Phone number: 847-260-8164
Copy
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