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1790443117
AMANDA NICOLE BURNSIDE
CHICAGO, IL
NPI
1790443117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.010609)
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
AMANDA NICOLE BURNSIDE PhD
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 734-330-5501
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Mailing Address
AMANDA NICOLE BURNSIDE PhD
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number:
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