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Individual

DR. ALTON CLARK DUBOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4510 N FRANCISCO AVE, CHICAGO, IL 60625-3809
(773) 588-2658
(773) 478-0303
Mailing address
4510 N FRANCISCO AVE, CHICAGO, IL 60625-3809
(773) 588-2658
(773) 478-0303

Taxonomy

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

Other

Enumeration date
10/29/2006
Last updated
07/08/2007
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