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1982794673
JERRY MARVIN PORZEMSKY
CHICAGO, IL
NPI
1982794673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 0711197)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Dr. JERRY MARVIN PORZEMSKY Ph.D.
2909 W FARGO AVE
CHICAGO, IL 60645-1222
Phone number: 773-262-5757
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Mailing Address
Dr. JERRY MARVIN PORZEMSKY Ph.D.
2909 W FARGO AVE
CHICAGO, IL 60645-1222
Phone number: 773-262-5757
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