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1902335714
LARIZA FENNER-LUX
CHICAGO, IL
NPI
1902335714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180009362)
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
LARIZA FENNER-LUX
4951 W MEDILL AVE
CHICAGO, IL 60639-3209
Phone number: 773-418-0164
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Mailing Address
LARIZA FENNER-LUX
4951 W MEDILL AVE
CHICAGO, IL 60639-3209
Phone number:
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