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1699460691
COLLECTED IN THE SPACE
CHICAGO, IL
NPI
1699460691
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Entity Type
Organization
Authorized Contact
CARINA BAUER
Clinical Psychologist
773-322-2385
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2023-04-06
Last Update Date
2023-05-10
Business Address
COLLECTED IN THE SPACE
661 W LAKE ST STE 2S
CHICAGO, IL 60661-1034
Phone number: 773-322-2385
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Mailing Address
COLLECTED IN THE SPACE
661 W LAKE ST STE 2S
CHICAGO, IL 60661-1034
Phone number: 773-322-2385
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