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1316474695
LOVELLA L LASSY
VIENNA, IL
NPI
1316474695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-17
Last Update Date
2022-07-21
Business Address
LOVELLA L LASSY Ms,QMHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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Mailing Address
LOVELLA L LASSY Ms,QMHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Copy
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