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1154339992
RYAN S LAUTERWASSER
GLEN ELLYN, IL
NPI
1154339992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-005201)
Enumeration Date
2006-08-04
Last Update Date
2012-01-19
Business Address
Mr. RYAN S LAUTERWASSER LCPC
460 N MAIN ST SUITE 205
GLEN ELLYN, IL 60137-5176
Phone number: 630-723-4145
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Mailing Address
Mr. RYAN S LAUTERWASSER LCPC
111 N UNION ST
AURORA, IL 60505-3537
Phone number:
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