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Individual
MARY ANN CLEARY
Active
Individual
MARY ANN CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32954
IL
104100000X
Social Worker
150101658
IL
1041C0700X
Clinical Social Worker
Primary
149020354
IL
Other
Enumeration date
02/11/2016
Last updated
05/30/2018
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