THERESA VACCARIELLO LAWRENCE

NORMAL, IL
NPI1053552711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180004147)
Enumeration Date2009-03-10
Last Update Date2009-03-10
Business Address
-- THERESA VACCARIELLO LAWRENCE LCPC
612 OGLESBY AVE
NORMAL, IL 61761-1888
Phone number: 309-557-1124
Mailing Address
-- THERESA VACCARIELLO LAWRENCE LCPC
1100 BEECH ST BLDG 7
NORMAL, IL 61761-1493
Phone number: 309-557-1124