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1760261523
HOWARD JEROME OWENS
LAKE VILLA, IL
NPI
1760261523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
MR. HOWARD JEROME OWENS LCPC
600 WEST GRAND AVENUE ALLENDALE ASSOCIATION
LAKE VILLA, IL 60046
Phone number: 847-245-6170
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Mailing Address
MR. HOWARD JEROME OWENS LCPC
600 WEST GRAND AVENUE
LAKE VILLA, IL 60046
Phone number: 847-245-6170
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