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1770123671
MATTHEW STALEY
LAKE VILLA, IL
NPI
1770123671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149021089)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
MATTHEW STALEY LCSW
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046-9744
Phone number: 847-356-8205
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Mailing Address
MATTHEW STALEY LCSW
55 E JACKSON BLVD STE 1500
CHICAGO, IL 60604-4184
Phone number:
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