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1740200682
HYSSOP MODIFICATION SERVICES,INC
CHICAGO, IL
NPI
1740200682
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Entity Type
Organization
Authorized Contact
LARYSA MARIA MYKYTIUK
Main Doctor
773-626-3613
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2006-07-21
Last Update Date
2020-08-22
Business Address
HYSSOP MODIFICATION SERVICES,INC
5835 W DIVISION ST
CHICAGO, IL 60651-1008
Phone number: 773-626-3613
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Mailing Address
HYSSOP MODIFICATION SERVICES,INC
5835 W DIVISION ST
CHICAGO, IL 60651-1008
Phone number: 773-626-3613
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