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1073747283
GREGORY GLENN LENCE
VIENNA, IL
NPI
1073747283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-05-04
Last Update Date
2009-05-04
Business Address
Mr. GREGORY GLENN LENCE BA MHP
408 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-2611
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Mailing Address
Mr. GREGORY GLENN LENCE BA MHP
100 WALNUT VALLEY LN
ANNA, IL 62906-3211
Phone number: 618-833-6875
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