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1023368602
TERRANCE W NIGHSWANGER
PEORIA, IL
NPI
1023368602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180001935)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
Mr. TERRANCE W NIGHSWANGER LCPC
2000 W PIONEER PKWY SUITE 20
PEORIA, IL 61615-1835
Phone number: 309-648-9939
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Mailing Address
Mr. TERRANCE W NIGHSWANGER LCPC
2000 W PIONEER PKWY SUITE 20
PEORIA, IL 61615-1835
Phone number: 309-648-9939
Copy
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