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1760969588
STEPHANIE CLARK
CHICAGO, IL
NPI
1760969588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.010831)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
STEPHANIE CLARK LCPC
5453 W DIVERSEY AVE
CHICAGO, IL 60639-1413
Phone number: 773-564-9070
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Mailing Address
STEPHANIE CLARK LCPC
5453 W DIVERSEY AVE
CHICAGO, IL 60639-1413
Phone number: 773-564-9070
Copy
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