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1740514199
SANDRA C. SMALL
CHICAGO, IL
NPI
1740514199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180-003431)
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
-- SANDRA C. SMALL LCPC
1701 W SUPERIOR ST
CHICAGO, IL 60622-5646
Phone number: 312-432-7351
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Mailing Address
-- SANDRA C. SMALL LCPC
1701 W SUPERIOR ST
CHICAGO, IL 60622-5646
Phone number: 312-432-7351
Copy
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