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Organization
MICHAEL HEARD
Active
Organization
MICHAEL HEARD
Active
Other names
Micares
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LAMAR HEARD LCSW (MANAGER)
(773) 316-8275
Entity
Organization
Contact information
Practice address
8643 S MARSHFIELD AVE, CHICAGO, IL 60620-4846
(773) 239-8463
Mailing address
8643 S. MARSHFIELD STREET, CHICAGO, IL 60620
(773) 239-8463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.006014
IL
Other
Enumeration date
10/09/2012
Last updated
01/16/2013
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