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1790207868
SAMANTHA MARIE VAZQUEZ
EVERGREEN PARK, IL
NPI
1790207868
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Former Name
SAMANTHA MARIE MCGLUMPHY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IL 180.011006)
Enumeration Date
2017-07-11
Last Update Date
2023-12-19
Business Address
MS. SAMANTHA MARIE VAZQUEZ LCPC
10104 S UTICA AVE
EVERGREEN PARK, IL 60805-3527
Phone number: 304-280-6360
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Mailing Address
MS. SAMANTHA MARIE VAZQUEZ LCPC
10104 S UTICA AVE
EVERGREEN PARK, IL 60805-3527
Phone number: 304-280-6360
Copy
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