AVA SUSSAN

EVERGREEN PARK, IL
NPI1710268131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149008560)
Enumeration Date2011-08-30
Last Update Date2011-08-30
Business Address
-- AVA SUSSAN LCSW
3759 W 95TH ST SUITE 3
EVERGREEN PARK, IL 60805-2000
Phone number: 866-296-5262
Mailing Address
-- AVA SUSSAN LCSW
20 N CLARK ST SUITE 2650
CHICAGO, IL 60602-4109
Phone number: 866-296-5262
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