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1306237623
ALLISON MARIE HENRIKSEN
VIENNA, IL
NPI
1306237623
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Former Name
ALLISON ROURKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-09
Last Update Date
2015-02-09
Business Address
-- ALLISON MARIE HENRIKSEN MS QMHP
408 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-2611
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Mailing Address
-- ALLISON MARIE HENRIKSEN MS QMHP
201 E LINCOLN ST
DE SOTO, IL 62924-1230
Phone number: 618-967-9948
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