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Organization
LIV SOCIAL
Active
Organization
LIV SOCIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE DELZOTTI (PRESIDENT)
(708) 207-2696
Entity
Organization
Contact information
Practice address
1525 CIRCLE AVE, FOREST PARK, IL 60130-2629
(708) 207-2696
Mailing address
915 CIRCLE AVE, FOREST PARK, IL 60130-2322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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