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1053639443
CLIFTON BLAKE SPIRES
MARION, IL
NPI
1053639443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
(Licence: CA 66039)
Enumeration Date
2010-05-10
Last Update Date
2022-01-08
Business Address
CLIFTON BLAKE SPIRES
1307 W MAIN ST
MARION, IL 62959-1139
Phone number: 618-997-5336
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Mailing Address
CLIFTON BLAKE SPIRES
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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