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1144339714
DAVID CHARLES IDERAN
ELGIN, IL
NPI
1144339714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-004988)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mr. DAVID CHARLES IDERAN MHS, CADC, LCPC
1532 WEATHERSTONE LN
ELGIN, IL 60123-2019
Phone number: 847-668-8969
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Mailing Address
Mr. DAVID CHARLES IDERAN MHS, CADC, LCPC
1545 EASY ST
ELGIN, IL 60123-5128
Phone number: 847-668-8969
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