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1225018815
THOMAS ALBERT GOOSSENS
PEORIA, IL
NPI
1225018815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149008315)
Enumeration Date
2006-01-19
Last Update Date
2016-01-02
Business Address
Mr. THOMAS ALBERT GOOSSENS LCSW
7501 N UNIVERSITY ST SUITE 221-A
PEORIA, IL 61614-1278
Phone number: 309-689-8878
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Mailing Address
Mr. THOMAS ALBERT GOOSSENS LCSW
7501 N UNIVERSITY ST SUITE 221-A
PEORIA, IL 61614-1278
Phone number: 309-689-8878
Copy
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