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1104000306
MICHELE DECANIO
WHEATON, IL
NPI
1104000306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.006671)
Enumeration Date
2007-12-24
Last Update Date
2007-12-24
Business Address
-- MICHELE DECANIO L.C.P.C
1616 E. ROOSEVELT RD
WHEATON, IL 60187
Phone number: 630-588-1201
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Mailing Address
-- MICHELE DECANIO L.C.P.C
214 RODENBURG RD
ROSELLE, IL 60172-1645
Phone number:
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