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1972729804
LARRY S PHILLIPS
CHICAGO, IL
NPI
1972729804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180002720)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- LARRY S PHILLIPS MA LCPC
7936 S ESSEX AVE
CHICAGO, IL 60617
Phone number: 773-721-5065
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Mailing Address
-- LARRY S PHILLIPS MA LCPC
235 E 103RD ST
CHICAGO, IL 60628-2807
Phone number: 773-721-5065
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