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1316184401
ANTHONY LOUIS DATTOMO
AURORA, IL
NPI
1316184401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IL 180002291)
Enumeration Date
2009-01-12
Last Update Date
2009-01-12
Business Address
MR. ANTHONY LOUIS DATTOMO LCPC
70 S RIVER ST
AURORA, IL 60506-5295
Phone number: 630-844-2662
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Mailing Address
MR. ANTHONY LOUIS DATTOMO LCPC
2031 CROSSWIND DR
PLAINFIELD, IL 60586-2251
Phone number: 630-263-3095
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