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1801404348
JANINE MARIE PHAN
OAK PARK, IL
NPI
1801404348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.015014)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
JANINE MARIE PHAN MA, LPC
1010 LAKE ST STE 500
OAK PARK, IL 60301-1135
Phone number: 773-665-8052
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Mailing Address
JANINE MARIE PHAN MA, LPC
1020 W LAWRENCE AVE APT 531
CHICAGO, IL 60640-5007
Phone number: 616-821-4241
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