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1912437088
WILLIAM KOCH
CHICAGO, IL
NPI
1912437088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180010937)
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
WILLIAM KOCH
5100 N RAVENSWOOD AVE STE 233
CHICAGO, IL 60640-1752
Phone number: 773-707-5833
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Mailing Address
WILLIAM KOCH
5123 W AINSLIE ST
CHICAGO, IL 60630-2304
Phone number: 773-707-5833
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