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1942895743
CARLY BROOKE NOVOSELSKY
CHICAGO, IL
NPI
1942895743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 178.016537)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
CARLY BROOKE NOVOSELSKY LPC, CADC
3701 N ASHLAND AVE
CHICAGO, IL 60613-3601
Phone number: 815-391-1000
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Mailing Address
CARLY BROOKE NOVOSELSKY LPC, CADC
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number:
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