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1831282441
MICHAEL GUY RUSSELL
CHICAGO, IL
NPI
1831282441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007782)
Enumeration Date
2006-10-02
Last Update Date
2023-06-15
Business Address
Mr. MICHAEL GUY RUSSELL LCSW
8 WEST MONROE #907
CHICAGO, IL 60603
Phone number: 312-345-9042
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Mailing Address
Mr. MICHAEL GUY RUSSELL LCSW
5941 W CORCORAN PL APT 1W
CHICAGO, IL 60644-1868
Phone number: 312-933-0509
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