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1801001789
JULIA LYNN BANTA
CHICAGO, IL
NPI
1801001789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180005790)
Enumeration Date
2007-05-13
Last Update Date
2007-07-08
Business Address
Ms. JULIA LYNN BANTA LCPC
203 N WABASH AVE SUITE 2106
CHICAGO, IL 60601-2406
Phone number: 312-551-9300
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Mailing Address
Ms. JULIA LYNN BANTA LCPC
1709 N PAULINA ST #103
CHICAGO, IL 60622-1495
Phone number: 773-384-7093
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