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1851625677
JOSEPH SHAINE GOTTFRIED
CHICAGO, IL
NPI
1851625677
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Former Name
BRENT FREDRICH BREDTHAUER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.009130)
Enumeration Date
2009-09-25
Last Update Date
2014-07-08
Business Address
Mr. JOSEPH SHAINE GOTTFRIED MA, LCPC
3850 N LAWNDALE AVE
CHICAGO, IL 60618-4115
Phone number: 773-633-8057
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Mailing Address
Mr. JOSEPH SHAINE GOTTFRIED MA, LCPC
5049 N CENTRAL PARK AVE APT 3C
CHICAGO, IL 60625-5537
Phone number: 773-633-8057
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