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1700869104
KENNETH TERRY BREITWISER
CHICAGO, IL
NPI
1700869104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149013342)
Enumeration Date
2005-11-21
Last Update Date
2010-05-24
Business Address
Mr. KENNETH TERRY BREITWISER LCSW
50 EAST WASHINGTON ST. JAMES CATHEDRAL COUNSELING CENTER
CHICAGO, IL 60602-2142
Phone number: 312-252-9500
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Mailing Address
Mr. KENNETH TERRY BREITWISER LCSW
1453 W RASCHER AVE #1E
CHICAGO, IL 60640-1205
Phone number: 773-561-3493
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