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Individual

ANNE MARIE NOVOTNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3317 W 95TH ST, EVERGREEN PARK, IL 60805-2243
(708) 607-6636
Mailing address
10421 S CHURCH ST, CHICAGO, IL 60643-2940
(773) 322-7002

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015535
IL

Other

Enumeration date
12/20/2019
Last updated
12/20/2019
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