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1790839116
JOHN THOMAS HERATY
SKOKIE, IL
NPI
1790839116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-011252)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. JOHN THOMAS HERATY LCSW
5301 DEMPSTER ST SUITE 205
SKOKIE, IL 60077-1846
Phone number: 847-508-3638
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Mailing Address
Mr. JOHN THOMAS HERATY LCSW
327 N MORRIS DR
PALATINE, IL 60074-5646
Phone number: 847-508-3638
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