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1063179547
LATREASA DENISE BLACKMON
NAPERVILLE, IL
NPI
1063179547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178017570)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
Mrs. LATREASA DENISE BLACKMON LPC
500 E OGDEN AVE STE 101
NAPERVILLE, IL 60563-3264
Phone number: 331-444-2342
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Mailing Address
Mrs. LATREASA DENISE BLACKMON LPC
500 E OGDEN AVE STE 101
NAPERVILLE, IL 60563-3264
Phone number: 331-444-2342
Copy
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