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1063400489
BETHANIE J DRAKE
SPRINGFIELD, IL
NPI
1063400489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166000252)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
-- BETHANIE J DRAKE LMFT
1020 S 5TH ST
SPRINGFIELD, IL 62703
Phone number: 217-544-3143
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Mailing Address
-- BETHANIE J DRAKE LMFT
1020 S 5TH ST
SPRINGFIELD, IL 62703
Phone number: 217-544-3143
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