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1902142003
THEODORE R HARRIS
EVANSTON, IL
NPI
1902142003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016113)
Enumeration Date
2012-12-17
Last Update Date
2018-06-15
Business Address
Mr. THEODORE R HARRIS LCSW, CADC
820 DAVIS ST STE 453
EVANSTON, IL 60201-4447
Phone number: 312-576-5760
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Mailing Address
Mr. THEODORE R HARRIS LCSW, CADC
927 ASBURY AVE
EVANSTON, IL 60202-1637
Phone number: 773-680-1534
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