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1871847467
SANDRA BLANK
NORTHBROOK, IL
NPI
1871847467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149005374)
Enumeration Date
2012-11-04
Last Update Date
2012-11-04
Business Address
-- SANDRA BLANK
1 THE COURT OF HARBORSIDE
NORTHBROOK, IL 60062-3228
Phone number: 847-757-5011
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Mailing Address
-- SANDRA BLANK
1 THE COURT OF HARBORSIDE
NORTHBROOK, IL 60062-3228
Phone number: 847-757-5011
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