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1992180715
ALLISON KENNY BALSAM
CHICAGO, IL
NPI
1992180715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2015-07-22
Last Update Date
2015-07-22
Business Address
-- ALLISON KENNY BALSAM
1318 W NORTH SHORE AVE UNIT 2
CHICAGO, IL 60626-4708
Phone number: 772-539-2936
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Mailing Address
-- ALLISON KENNY BALSAM
1318 W NORTH SHORE AVE UNIT 2
CHICAGO, IL 60626-4708
Phone number: 772-539-2936
Copy
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