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1740322502
MARK STEVEN SAMUELSON
EVANSTON, IL
NPI
1740322502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149000936)
Enumeration Date
2007-02-12
Last Update Date
2008-06-02
Business Address
-- MARK STEVEN SAMUELSON L.C.S.W.
2550 CRAWFORD AVENUE SUITE 14
EVANSTON, IL 60201-4983
Phone number: 847-475-9500
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Mailing Address
-- MARK STEVEN SAMUELSON L.C.S.W.
2550 CRAWFORD AVENUE SUITE 14
EVANSTON, IL 60201-4983
Phone number: 847-475-9500
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