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1881704047
CHARLES EDWARD DAVIS
OAK PARK, IL
NPI
1881704047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-003271)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. CHARLES EDWARD DAVIS PH.D.
1145 WESTGATE ST SUITE 200
OAK PARK, IL 60301-1089
Phone number: 708-431-2245
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Mailing Address
Dr. CHARLES EDWARD DAVIS PH.D.
PO BOX 3908
OAK PARK, IL 60303-3908
Phone number: 708-431-2245
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