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1730636283
LILLIAN LONGORIA
CHICAGO, IL
NPI
1730636283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IL 121626-11)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
LILLIAN LONGORIA
10046 S WESTERN AVE
CHICAGO, IL 60643-1926
Phone number: 773-429-0300
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Mailing Address
LILLIAN LONGORIA
10046 S WESTERN AVE
CHICAGO, IL 60643-1926
Phone number: 773-429-0300
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