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Individual
SHIMON ARIEL GENDELMAN
Active
Individual
SHIMON ARIEL GENDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180014166
IL
101YP2500X
Professional Counselor
Primary
180.014166
IL
Other
Enumeration date
02/10/2022
Last updated
01/09/2024
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