DYLAN PATRICK PRENDERGAST

CHAMPAIGN, IL
NPI1063608206
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-09-21
Last Update Date2007-09-21
Business Address
-- DYLAN PATRICK PRENDERGAST
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
Mailing Address
-- DYLAN PATRICK PRENDERGAST
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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