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1740847268
JOSE AVILA
CHICAGO, IL
NPI
1740847268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.000703)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
JOSE AVILA MA
3047 W CERMAK RD FL 3
CHICAGO, IL 60623-3421
Phone number: 773-522-7798
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Mailing Address
JOSE AVILA MA
3047 W CERMAK RD FL 3
CHICAGO, IL 60623-3421
Phone number: 773-522-7798
Copy
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