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1972792604
CHARLES R BURT
CHICAGO, IL
NPI
1972792604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180007553)
Enumeration Date
2007-10-18
Last Update Date
2010-10-06
Business Address
Mr. CHARLES R BURT LCPC
3319 N SHEFFIELD AVE UNIT 3
CHICAGO, IL 60657-2293
Phone number: 773-429-9454
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Mailing Address
Mr. CHARLES R BURT LCPC
3319 N SHEFFIELD AVE UNIT 3
CHICAGO, IL 60657-2293
Phone number: 773-429-9454
Copy
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