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Individual

MISS CYNTHIA DENISE DOUCETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AM, LCSW

Contact information

Practice address
64 OLD ORCHARD SHOPPING CTR, SUITE 435, SKOKIE, IL 60077-1425
(847) 256-5282
Mailing address
1187 WILMETTE AVE, PMB 152, WILMETTE, IL 60091-2719
(847) 256-5282

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013736
IL

Other

Enumeration date
09/30/2009
Last updated
09/30/2009
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