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Organization

MARY W BARBER

Active
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Organization

MARY W BARBER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY W BARBER LCPC (LICENSED CLINICAL PROF COUNSELOR)
(414) 688-3628
Entity
Organization

Contact information

Practice address
3930 N PINE GROVE AVE, 2612, CHICAGO, IL 60613-3346
(773) 750-1010
Mailing address
3930 N PINE GROVE AVE, 2612, CHICAGO, IL 60613-3346
(773) 750-1010

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009512
IL

Other

Enumeration date
03/07/2016
Last updated
03/07/2016
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