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1114077575
BONNIE B ROUTH
LAWRENCEVILLE, IL
NPI
1114077575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180.007390)
Enumeration Date
2007-01-10
Last Update Date
2016-03-04
Business Address
MRS. BONNIE B ROUTH LPCA
RR 3 BOX 414
LAWRENCEVILLE, IL 62439-9499
Phone number: 618-943-3754
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Mailing Address
MRS. BONNIE B ROUTH LPCA
RR 3 BOX 414
LAWRENCEVILLE, IL 62439-9499
Phone number: 618-943-3754
Copy
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