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1023142841
CLETUS A MEIERGERD
JOLIET, IL
NPI
1023142841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149006629)
Enumeration Date
2007-03-15
Last Update Date
2010-08-05
Business Address
-- CLETUS A MEIERGERD LCSW
501 ELLA AVE
JOLIET, IL 60433-2799
Phone number: 815-727-8521
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Mailing Address
-- CLETUS A MEIERGERD LCSW
25029 S FOXFORD DR
MANHATTAN, IL 60442-9160
Phone number: 815-478-3282
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