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1891464475
MARISSA FANG
HINSDALE, IL
NPI
1891464475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: IL 2418650)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
MARISSA FANG ED.S
210 N MADISON ST
HINSDALE, IL 60521-3241
Phone number: 630-861-4200
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Mailing Address
MARISSA FANG ED.S
5743 WOLF RD
LA GRANGE HIGHLANDS, IL 60525-3363
Phone number:
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