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1255396347
PHILLIP J LADD
PEORIA, IL
NPI
1255396347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180003305)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
Dr. PHILLIP J LADD LCPC
3716 W BRIGHTON AVE
PEORIA, IL 61615
Phone number: 309-692-7755
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Mailing Address
Dr. PHILLIP J LADD LCPC
3716 W BRIGHTON AVE
PEORIA, IL 61615
Phone number: 309-692-7755
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