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1952325250
SUSAN KOGAN
CHICAGO, IL
NPI
1952325250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180-001774)
Enumeration Date
2006-07-27
Last Update Date
2007-12-13
Business Address
-- SUSAN KOGAN
2525 W PETERSON AVE
CHICAGO, IL 60659-4108
Phone number: 773-765-0594
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Mailing Address
-- SUSAN KOGAN
2525 W PETERSON AVE
CHICAGO, IL 60659-4108
Phone number:
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