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1174779953
MARY ALICE WENTLING
DIXON, IL
NPI
1174779953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180005096)
Enumeration Date
2008-08-13
Last Update Date
2008-08-13
Business Address
-- MARY ALICE WENTLING LCPC
501 WOODLAND DR
DIXON, IL 61021-8937
Phone number: 815-973-6111
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Mailing Address
-- MARY ALICE WENTLING LCPC
501 WOODLAND DR
DIXON, IL 61021-8937
Phone number: 815-973-6111
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