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1780469197
ALFONSO ANDRES MARTINEZ
WAUKEGAN, IL
NPI
1780469197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.019293)
Enumeration Date
2023-08-25
Last Update Date
2023-09-20
Business Address
ALFONSO ANDRES MARTINEZ LPC
2405 DUNLAY CT APT 1E
WAUKEGAN, IL 60085-4572
Phone number: 224-610-9795
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Mailing Address
ALFONSO ANDRES MARTINEZ LPC
2405 DUNLAY CT APT 1E
WAUKEGAN, IL 60085-4572
Phone number: 224-610-9797
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