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Individual

ALLISON BEVERLY OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6961 S VERNON AVE, CHICAGO, IL 60637-4621
(773) 307-7191
Mailing address
6961 S VERNON AVE, CHICAGO, IL 60637-4621
(773) 307-7191

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99999999999
PRIVATE PAYERS
IL
Enumeration date
02/17/2021
Last updated
02/17/2021
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