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1740568385
MIRIAM LIZETTE SULLIVAN
CHICAGO, IL
NPI
1740568385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.007775)
Enumeration Date
2011-08-01
Last Update Date
2017-02-03
Business Address
-- MIRIAM LIZETTE SULLIVAN MA, LCPC
10725 S WESTERN AVE 2ND FLOOR
CHICAGO, IL 60643-3135
Phone number: 708-691-2497
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Mailing Address
-- MIRIAM LIZETTE SULLIVAN MA, LCPC
6848 W 114TH PL
WORTH, IL 60482-2015
Phone number: 708-691-2497
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