{
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"FirstLineMailingAddress": "9940 LA REINA CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORLAND PARK",
"MailingAddressStateName": "IL",
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"MailingAddressCountryCode": "US",
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"EnumerationDate": "10/15/2008",
"LastUpdateDate": "10/15/2008",
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"Gender": null,
"AuthorizedOfficialLastName": "OSKVAREK",
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"AuthorizedOfficialCredential": "MA LCPC CADC MISA II",
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"TaxonomyName": "Professional Counselor",
"LicenseNumber": "180.006273",
"LicenseNumberStateCode": "IL",
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}
},
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}
}
}
}