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Individual

MRS. DEVEN MILIN BUTUSOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
674 VETERANS PKWY W, STE D, YORKVILLE, IL 60560
(630) 553-9686
Mailing address
14515 PATRIOT SQUARE DR E, PLAINFIELD, IL 60544-4431
(630) 730-4164

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IL

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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