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1285062364
LUKE FAIRLESS
PLAINFIELD, IL
NPI
1285062364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-10-28
Last Update Date
2013-10-28
Business Address
-- LUKE FAIRLESS Psy.D.
14953 S VAN DYKE RD
PLAINFIELD, IL 60544-5804
Phone number: 815-609-1544
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Mailing Address
-- LUKE FAIRLESS Psy.D.
14953 S VAN DYKE RD
PLAINFIELD, IL 60544-5804
Phone number: 815-609-1544
Copy
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