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1841542917
MARY ALICE OFF
EVANSTON, IL
NPI
1841542917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.009282)
Enumeration Date
2012-10-12
Last Update Date
2012-10-12
Business Address
-- MARY ALICE OFF
2329 RIDGEWAY AVE
EVANSTON, IL 60201-1855
Phone number: 847-962-7664
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Mailing Address
-- MARY ALICE OFF
2329 RIDGEWAY AVE
EVANSTON, IL 60201-1855
Phone number: 847-962-7664
Copy
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