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1235229154
JANIS IRIS RICELY
WHEATON, IL
NPI
1235229154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180-004252)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Ms. JANIS IRIS RICELY LCPC
610 W ROOSEVELT RD # D
WHEATON, IL 60187-5087
Phone number: 630-881-7466
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Mailing Address
Ms. JANIS IRIS RICELY LCPC
PO BOX 346
GLEN ELLYN, IL 60138-0346
Phone number: 630-545-5132
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