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1689762734
SERGIO VINICIO GRAJEDA
OAK PARK, IL
NPI
1689762734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.0072232)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. SERGIO VINICIO GRAJEDA LCSW, Ph.D.
715 LAKE ST STE 800
OAK PARK, IL 60301-1417
Phone number: 708-848-8145
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Mailing Address
Dr. SERGIO VINICIO GRAJEDA LCSW, Ph.D.
5109 W 85TH ST
BURBANK, IL 60459-2714
Phone number: 708-346-0113
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